Active NPI
Robert J Weber
- Family Medicine Physician
- Watsonville, CA
National Provider Identifier
1659572923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0710793 | Other | CA | CLIA |
| CN2048 | Other | CA | PALMETTO GBA RAILROAD MED |
| GR0077550 | Medicaid | CA |
Other names 1
- Robert J Weber MD
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Watsonville, CA
- NPI 1235207184
-
- Family Medicine Physician
- Watsonville, CA
- NPI 1023161619
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.