Active NPI
Judy A Weidner
- Day Training/Habilitation Specialist
- Ontario, CA
National Provider Identifier
1518406495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 2940 Inland Empire Blvd
Ontario, CA 91764-4898 - Phone
- (909) 421-9301
- Fax
- (909) 421-9219
- NPI assigned
- Feb 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Mailing address
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518406495 | Other | CA | MEDI-CAL |
| 1518406495 | Medicaid | CA |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1518406495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 INLAND EMPIRE BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644898",
"telephone_number": "909-421-9301",
"fax_number": "909-421-9219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDNER",
"first_name": "JUDY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-13",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1518406495",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518406495",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.