Active NPI
Lukan David Weissburg
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1619460318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 127615
- Practice address
- 2118 Willow Pass Rd Ste 500
Concord, CA 94520-2414 - Phone
- (925) 692-0090
- NPI assigned
- Jun 7, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 127615 | CA | Primary |
Addresses
Primary practice location
2118 Willow Pass Rd Ste 500
Concord, CA 94520-2414
Mailing address
775 Silver Oaks PL
Walnut Creek, CA 94597-2682
Phone (925) 979-1297
Other practice location 1
6475 Sierra Ln
Dublin, CA 94568-2796
Phone (925) 462-2281
Other names 1
- Erin Marie Weissburg
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127615 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Community Center of Contra Costa County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Concord, CA
- NPI 1316230923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1619460318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 SILVER OAKS PL",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972682",
"telephone_number": "925-979-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 WILLOW PASS RD STE 500",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202414",
"telephone_number": "925-692-0090"
}
],
"practiceLocations": [
{
"address_1": "6475 Sierra Ln",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "CA",
"postal_code": "945682796",
"country_code": "US",
"telephone_number": "925-462-2281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISSBURG",
"first_name": "LUKAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "127615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "WEISSBURG",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.