Individual provider Active NPI

Dorothy Vura-Weis, MD

  • Family Medicine Physician
  • Redwood City, CA
National Provider Identifier
1659442911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G40149 Issued in CA
Practice address
2710 Middlefield Rd
Redwood City, CA 94063-3404
Phone
(650) 364-6010
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G40149 CA Primary

Addresses

Primary practice location

2710 Middlefield Rd
Redwood City, CA 94063-3404

Mailing address

2710 Middlefield Rd
Redwood City, CA 94063-3404
Phone (650) 364-6010

Other identifiers 1

IdentifierTypeStateIssuer
00G401490MedicaidCA

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

LicenseStateTypeSpecialty
G40149CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Springs Medical Group, Inc. Family Medicine PastSince Aug 27, 2002 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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659442911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MIDDLEFIELD RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633404",
            "telephone_number": "650-364-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MIDDLEFIELD RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633404",
            "telephone_number": "650-364-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VURA-WEIS",
        "first_name": "DOROTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G40149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G401490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, 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.

Verify at the official NPI Registry.