Active NPI
Ronald S Weaver, M.D.
- Internal Medicine Physician
- Inglewood, CA
National Provider Identifier
1669465928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- WG30188A
- Practice address
- 633 Aerick St
Suite 101
Inglewood, CA 90301-1978 - Phone
- (310) 412-8181
- Fax
- (310) 412-9299
- NPI assigned
- Aug 23, 2005
- Reactivated
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G30118 | CA | |
| Internal Medicine Physician | 207R00000X | WG30188A | CA | Primary |
Addresses
Primary practice location
633 Aerick St
Suite 101
Inglewood, CA 90301-1978
Mailing address
633 Aerick St
Suite 101
Inglewood, CA 90301-1978
Phone (310) 412-8181
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WG30188A | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Elkin MD Inc | Past | Accepting new patients | |
| Cytology Associates of Houston | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Inglewood, CA
- NPI 1265662522
-
- Cardiovascular Disease Physician
- Whittier, CA
- NPI 1578777207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1669465928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 AERICK ST",
"address_2": "SUITE 101",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011978",
"telephone_number": "310-412-8181",
"fax_number": "310-412-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 AERICK ST",
"address_2": "SUITE 101",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011978",
"telephone_number": "310-412-8181",
"fax_number": "310-412-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2013-08-14",
"deactivation_date": "2006-03-27",
"reactivation_date": "2006-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G30118",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "WG30188A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.