Active NPI
Robert J. Weston, M.D.
- Internal Medicine Physician
- Carmichael, CA
National Provider Identifier
1407969231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G67212
- Practice address
- 6555 Coyle Ave
Carmichael, CA 95608-0302 - Phone
- (916) 536-3620
- Fax
- (916) 536-3541
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G67212 | CA | Primary |
Addresses
Primary practice location
6555 Coyle Ave
Carmichael, CA 95608-0302
Mailing address
3400 Data Dr
Physician Support Services, 2ND Floor
Rancho Cordova, CA 95670-7956
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3352636 | Other | CA | CIGNA |
| MCMG126600 | Other | CA | WESTERN HEALTH ADVANTAGE |
| 000810342904 | Other | CA | PHCS |
| 1089835 | Other | CA | GREAT WEST |
| 4460351 | Other | CA | AETNA |
| 90037764 | Other | CA | PACIFICARE |
| 20066 | Other | CA | INTERPLAN |
| G67212 | Other | CA | BLUE CROSS |
| 46396 | Other | CA | FIRST HEALTH |
| 725812 | Other | CA | UNITED HEALTHCARE |
| 034772 | Other | CA | HEALTH NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67212 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1407969231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "PHYSICIAN SUPPORT SERVICES, 2ND FLOOR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 COYLE AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080302",
"telephone_number": "916-536-3620",
"fax_number": "916-536-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTON",
"first_name": "ROBERT",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G67212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3352636",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "MCMG126600",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "000810342904",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1089835",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4460351",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "90037764",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "20066",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G67212",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "46396",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "725812",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "034772",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.