Active NPI
Craig D Weiner, M.D.
- Nuclear Medicine Physician
- Sacramento, CA
National Provider Identifier
1568552834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- G33172
- Practice address
- 4001 J St
Sacramento, CA 95819-3626 - Phone
- (916) 989-9044
- Fax
- (916) 988-5288
- NPI assigned
- Oct 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | G33172 | CA | Primary |
Addresses
Primary practice location
4001 J St
Sacramento, CA 95819-3626
Mailing address
PO Box 1202
Orangevale, CA 95662-1202
Phone (916) 989-9044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G331720 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G33172 | CA | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Medical Group, Inc | Past | Accepting new patients | |
| Diagnostic Radiological Imaging | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1710931910
-
- Emergency Medicine Physician
- Sedona, AZ
- NPI 1326356163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1568552834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1202",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956621202",
"telephone_number": "916-989-9044",
"fax_number": "916-988-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193626",
"telephone_number": "916-989-9044",
"fax_number": "916-988-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "CRAIG",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "G33172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G331720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.