Jeffrey R Weiner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G33003 Issued in CA

Practice address

215 N San Mateo Dr
Suite 10
San Mateo, CA 94401-2622

Phone

(650) 579-1020

Fax

(650) 579-1027

NPI assigned

Jan 31, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey R. Weiner, M.D., Inc.

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1962540666
  NPD (past) Authorized official

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1508138090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR",
            "address_2": "SUITE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012622",
            "telephone_number": "650-579-1020",
            "fax_number": "650-579-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR",
            "address_2": "SUITE 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012622",
            "telephone_number": "650-579-1020",
            "fax_number": "650-579-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G33003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danell Shawn Weese, RN
• Sierra Wei, ASW
• Zhounan Wei
• Kaitlyn Anne Weidner
• Emily Jean Weinberg
• Laurie R Weiss, PHD
• Barbara Yates Sonner Weissman, M.D.
• Sandra Jane Weissmiller, PHARMD
• Deborah Margaret Weitzman, CNM
• Wellbound of San Jose, LLC

• Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.