Individual provider Active NPI

Timothy Weiss

  • Chiropractor
  • Moreno Valley, CA
National Provider Identifier
1649151838
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC37434 Issued in CA
Practice address
12981 Perris Blvd Ste 106
Moreno Valley, CA 92553-4108
Phone
(951) 485-6300
Fax
(951) 485-6322
NPI assigned
Sep 12, 2025
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC37434 CA Primary

Addresses

Primary practice location

12981 Perris Blvd Ste 106
Moreno Valley, CA 92553-4108

Mailing address

16634 Benjamin Cir
Lake Elsinore, CA 92530-1245
Phone (714) 797-2582

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

LicenseStateTypeSpecialty
DC37434CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Glover Chiropractic Inc Chiropractor CurrentSince Sep 14, 2025 Accepting new patients
Billy Rodriguez Chiropractic Inc Chiropractor PastSince Jan 1, 2006 Accepting new patients
Michael L Kreutz Chiropractic Inc Chiropractor PastSince Sep 14, 2025 Accepting new patients

Locations

1502 N El Camino Real
San Clemente, CA 92672
Phone (949) 498-6440

Organizations & group practices 3

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1649151838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16634 BENJAMIN CIR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925301245",
            "telephone_number": "714-797-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12981 PERRIS BLVD STE 106",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534108",
            "telephone_number": "951-485-6300",
            "fax_number": "951-485-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC37434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.