Active NPI
Robert Bernard Weber, M.D.
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1619981636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G30439
- Practice address
- 12099 W Washington Blvd Ste 300
Los Angeles, CA 90066-2621 - Phone
- (310) 558-9777
- Fax
- (310) 558-9778
- NPI assigned
- Jul 27, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G30439 | CA | Primary |
Addresses
Primary practice location
12099 W Washington Blvd Ste 300
Los Angeles, CA 90066-2621
Mailing address
PO Box 17763
Beverly Hills, CA 90209-3763
Phone (310) 558-9777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G304391 | Medicaid | CA | |
| G3043913 | Other | CA | MEDICARE ID |
Other names 1
- Robert Bernard Weber
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30439 | CA | MD | Chiropractor |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollywood Diagnostic Service | Current | Accepting new patients | |
| Progressive Medical Imaging, Inc. | Current | Accepting new patients | |
| Professional Imaging Network | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1194896332
-
- Physiological Laboratory
- Los Angeles, CA
- NPI 1760475040
-
- Sonography Radiologic Technologist
- Culver City, CA
- NPI 1063608669
-
- Diagnostic Ultrasound Physician
- Los Angeles, CA
- NPI 1417054701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1619981636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17763",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902093763",
"telephone_number": "310-558-9777",
"fax_number": "310-558-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12099 W WASHINGTON BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900662621",
"telephone_number": "310-558-9777",
"fax_number": "310-558-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "ROBERT",
"middle_name": "BERNARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G30439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G304391",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "G3043913",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "WEBER",
"middle_name": "BERNARD",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.