Organization Active NPI

Sidney Jay Weiss, M.D. Inc

Doing business as Saddleback Eye Medical Associates

  • Ophthalmology Physician
  • Mission Viejo, CA
National Provider Identifier
1407873326
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SIDNEY JAY WEISS, M.D. INC
Doing business as
Saddleback Eye Medical Associates
Practice address
26691 Plaza
Suite 250
Mission Viejo, CA 92691-6398
Phone
(949) 364-0225
Fax
(949) 364-9014
NPI assigned
Jul 16, 2006
Organization subpart
Yes
Parent organization
SIDNEY JAY WEISS, M.D. INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Mr. Sidney Jay Weiss, M.D.
Title
President/Owner
Phone
(949) 364-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

26691 Plaza
Suite 250
Mission Viejo, CA 92691-6398

Mailing address

26691 Plaza
Suite 250
Mission Viejo, CA 92691-6398
Phone (949) 364-0225

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ00295ZOtherCABLUE SHIELD

Other names 1

  • Saddleback Eye Medical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Sidney J Weiss MD

Locations

24022 Calle de la Plata
Ste 515
Laguna Hills, CA 92653
Phone (949) 364-0225

27800 Medical Center Rd
Ste 130
Mission Viejo, CA 92691
Phone (714) 299-4929

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 7

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1407873326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA",
            "address_2": "SUITE 250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916398",
            "telephone_number": "949-364-0225",
            "fax_number": "949-364-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA",
            "address_2": "SUITE 250",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916398",
            "telephone_number": "949-364-0225",
            "fax_number": "949-364-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY JAY WEISS, M.D. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIDNEY JAY WEISS, M.D. INC",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-364-0225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ00295Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddleback Eye Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.