Organization Active NPI

Richard a Weiner MD Inc

  • Pain Medicine Physician
  • Temecula, CA
National Provider Identifier
1386797769
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
G59209 Issued in CA
Legal business name
RICHARD A WEINER MD INC
Practice address
27412 Enterprise Cir W Ste 102
Temecula, CA 92590-4801
Phone
(951) 694-6367
Fax
(951) 694-1428
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Autumn Elaine Villegas
Title
Practice Manager
Phone
(951) 694-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X G59209 CA Primary

Addresses

Primary practice location

27412 Enterprise Cir W Ste 102
Temecula, CA 92590-4801

Mailing address

27412 Enterprise Cir W Ste 102
Temecula, CA 92590-4801
Phone (951) 694-6367

Other practice location 1

7625 Mesa College Dr Ste 325A
San Diego, CA 92111-5343
Phone (858) 326-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000553 CA Part B Supplier - Clinic/Group Practice 5698838761 Receives reassigned benefits from 10 practitioners
Practice locations: Temecula, CA; Wildomar, CA; San Diego, CA; Murrieta, CA; Fallbrook, CA; Escondido, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2002835Richard a Weiner, MD Inc27412 Enterprise Circle W Suite 102, Temecula, CA 92590Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Locations

533 E Vly Pkwy
Escondido, CA 92025
Phone (760) 739-3000

533 E Vly Pkwy
Escondido, CA 92025
Phone (760) 739-3000

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1386797769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904801",
            "telephone_number": "951-694-6367",
            "fax_number": "951-694-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904801",
            "telephone_number": "951-694-6367",
            "fax_number": "951-694-1428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Mesa College Dr Ste 325A",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921115343",
            "country_code": "US",
            "telephone_number": "858-326-5044",
            "fax_number": "858-339-9071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD A WEINER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "951-694-6367"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G59209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.