Organization Active NPI

Hal M. Weitzbuch, M.D. Medical Corporation

  • Medical Specialty Clinic/Center
  • Calabasas, CA
National Provider Identifier
1639420177
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A121615 Issued in CA
Legal business name
HAL M. WEITZBUCH, M.D. MEDICAL CORPORATION
Practice address
23501 Park Sorrento Ste 216
Calabasas, CA 91302-1383
Phone
(818) 222-7495
Fax
(818) 222-7498
NPI assigned
Sep 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Jan West
Title
Practice Administrator
Phone
(818) 222-7495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A121615 CA Primary

Addresses

Primary practice location

23501 Park Sorrento Ste 216
Calabasas, CA 91302-1383

Mailing address

23501 Park Sorrento Ste 216
Calabasas, CA 91302-1383
Phone (818) 222-7495

Other practice location 1

1000 Newbury Rd Ste 180
Thousand Oaks, CA 91320-6440
Phone (818) 222-7495

Other names 2

  • Brilliance Dermatology Doing business as
  • Calabasas Dermatology Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121130000565 CA Part B Supplier - Clinic/Group Practice 3375795123 Receives reassigned benefits from 6 practitioners
Practice locations: Calabasas, CA; Thousand Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0684253Hal M. Weitzbuch, M.D., Medical Corporation23501 Park Sorrento, Ste 216, Calabasas, CA 91302ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1639420177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 PARK SORRENTO STE 216",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021383",
            "telephone_number": "818-222-7495",
            "fax_number": "818-222-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 PARK SORRENTO STE 216",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021383",
            "telephone_number": "818-222-7495",
            "fax_number": "818-222-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Newbury Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913206440",
            "country_code": "US",
            "telephone_number": "818-222-7495",
            "fax_number": "818-222-7498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAL M. WEITZBUCH, M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "818-222-7495"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A121615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brilliance Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calabasas Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calabasas Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.