Organization Active NPI

Weekend Health of Pennsylvania, P.C.

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1578302295
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WEEKEND HEALTH OF PENNSYLVANIA, P.C.
Practice address
425 California St Ste 14
San Francisco, CA 94104-2102
Phone
(804) 337-0425
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Dr. Brantley Jolly, MD
Title
Owner
Phone
(804) 337-0425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

425 California St Ste 14
San Francisco, CA 94104-2102

Mailing address

425 California St Ste 14
San Francisco, CA 94104-2102
Phone (804) 337-0425

Other practice location 1

4992 Library Rd.
Bethel Park, PA 15102
Phone (804) 337-0425

National Provider Directory

National Provider Directory

Locations

4992 Library Rd
Bethel Park, PA 15102
Phone (804) 337-0425

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1578302295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CALIFORNIA ST STE 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042102",
            "telephone_number": "804-337-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CALIFORNIA ST STE 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042102",
            "telephone_number": "804-337-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4992 Library Rd.",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "15102",
            "country_code": "US",
            "telephone_number": "804-337-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEEKEND HEALTH OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-337-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.