Gregory J Wiener M D Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A41749 Issued in CA

Legal business name

GREGORY J WIENER M D PROFESSIONAL CORPORATION

Practice address

353 Church Ave Ste a
Chula Vista, CA 91910-3906

Phone

(619) 585-8883

NPI assigned

Jan 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick H Sweet III, MDNPI 1457407702

Title

Ceo

Phone

(619) 204-6627

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Henry Sweet III, MD

  • Gastroenterology Physician
  • Brawley, CA
  • NPI 1457407702
  Medicare reassignment Care Compare group NPD Authorized official
• Viviane Sanada, NP-C

  • Family Nurse Practitioner
  • El Segundo, CA
  • NPI 1154981355

  Single Specialty

  Medicare reassignment Care Compare group NPD
• John Stillson, MD

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1902556202
  Medicare reassignment Care Compare group NPD
• Gregory J Wiener, M.D

  • Gastroenterology Physician
  • Chula Vista, CA
  • NPI 1811099534
  Medicare reassignment Care Compare group NPD
• Arturo A. Armendariz, P.A./N.P.

  • Physician Assistant
  • San Diego, CA
  • NPI 1568488195
  Medicare reassignment
• Jessica Lynn Kovall, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1366874703
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1376728287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CHURCH AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103906",
            "telephone_number": "619-585-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CHURCH AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103906",
            "telephone_number": "619-585-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J WIENER M D PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-204-6627",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A41749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417490",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER",
            "identifier": "W22034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Marcus Green, MD
• Laura Louise Green, RN
• Edward William Greene
• Komoa Greene
• Mayra Greene
• Gregory Wiener MD PC
• Gregory Ted Greiner, P.T. ASST.
• Alena Grenz
• Danya Gresham
• Ann Grieb

• Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.