Organization Active NPI

Robert J Weber

  • Family Medicine Physician
  • Watsonville, CA
National Provider Identifier
1659572923
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT J WEBER
Practice address
1066 S Green Valley Rd
Watsonville, CA 95076-4163
Phone
(831) 722-2422
Fax
(831) 539-2145
NPI assigned
May 31, 2007
Last updated
Jan 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mrs. Madeline Roseann Weber
Title
Office Manager
Phone
(831) 722-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

1066 S Green Valley Rd
Watsonville, CA 95076-4163

Mailing address

1066 S Green Valley Rd
Watsonville, CA 95076-4163
Phone (831) 722-2422

Other identifiers 3

IdentifierTypeStateIssuer
05D0710793OtherCACLIA
CN2048OtherCAPALMETTO GBA RAILROAD MED
GR0077550MedicaidCA

Other names 1

  • Robert J Weber MD Other name

National Provider Directory

National Provider Directory

Locations

1066 S Green Valley Rd
#A
Watsonville, CA 95076
Phone (408) 722-2422

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1659572923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764163",
            "telephone_number": "831-722-2422",
            "fax_number": "831-539-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764163",
            "telephone_number": "831-722-2422",
            "fax_number": "831-539-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J WEBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "ROSEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-722-2422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0710793",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "CN2048",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert J Weber MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.