Active NPI
Michael S. Weiner, MD
- Obstetrics & Gynecology Physician
- Modesto, CA
National Provider Identifier
1629169230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G36357
- Practice address
- 2030 Coffee Rd
Suite a-1
Modesto, CA 95355-2413 - Phone
- (209) 578-0443
- Fax
- (209) 578-5933
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G36357 | CA | Primary |
Addresses
Primary practice location
2030 Coffee Rd
Suite a-1
Modesto, CA 95355-2413
Mailing address
3050 E Airport Way
Long Beach, CA 90806-2404
Phone (562) 426-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G363570 | Other | CA | MEDI-CAL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36357 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629169230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 E AIRPORT WAY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062404",
"telephone_number": "562-426-9661",
"fax_number": "562-426-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 COFFEE RD",
"address_2": "SUITE A-1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552413",
"telephone_number": "209-578-0443",
"fax_number": "209-578-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "MICHAEL",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G36357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "00G363570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.