Individual provider Active NPI

Barbara Yates Sonner Weissman, M.D.

  • Psychiatry Physician
  • San Mateo, CA
National Provider Identifier
1619194743
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G072285 Issued in CA
Practice address
1950 Alameda de Las Pulgas
San Mateo, CA 94403-1222
Phone
(650) 573-2683
Fax
(650) 572-9347
NPI assigned
Apr 19, 2007
Last updated
Jul 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G072285 CA Primary

Addresses

Primary practice location

1950 Alameda de Las Pulgas
San Mateo, CA 94403-1222

Mailing address

1950 Alameda de Las Pulgas
San Mateo, CA 94403-1222
Phone (650) 573-2683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223001137 CA Practitioner - Psychiatry 9537340518 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Harvard Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, 316 clinicians

Practice addresses (Care Compare)

375 89TH St
Daly City, CA 94015-1802
Phone (650) 573-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G072285CAMDPsychiatry Physician
72285CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 26, 2019 Accepting new patients
County of San Mateo CurrentSince Jan 5, 2011 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2015 Accepting new patients
County of San Mateo Current Accepting new patients
County of Santa Clara Current Accepting new patients
San Mateo County CurrentSince Jan 5, 2011 Accepting new patients
County of Santa Clara Psychiatry CurrentSince Jan 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Jan 1, 2015 Accepting new patients
County of Santa Clara Psychiatry Current Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8648

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

820 Enborg Ct
San Jose, CA 95128
Phone (408) 207-3138

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1619194743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ALAMEDA DE LAS PULGAS",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031222",
            "telephone_number": "650-573-2683",
            "fax_number": "650-572-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ALAMEDA DE LAS PULGAS",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031222",
            "telephone_number": "650-573-2683",
            "fax_number": "650-572-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "BARBARA",
        "middle_name": "YATES SONNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G072285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.