Individual provider Active NPI

Alan Weiss, MD, MA(ED)

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1669552402
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G31574 Issued in CA
Practice address
1414 S Grand Ave
Suite 375
Los Angeles, CA 90015-3067
Phone
(213) 747-5211
NPI assigned
Oct 16, 2006
Last updated
Oct 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G31574 CA Primary

Addresses

Primary practice location

1414 S Grand Ave
Suite 375
Los Angeles, CA 90015-3067

Mailing address

1414 S Grand Ave
Suite 375
Los Angeles, CA 90015-3067
Phone (213) 747-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000917 CA Practitioner - General Surgery 3375687668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 W Washington Blvd
Los Angeles, CA 90015-3316
Phone (213) 623-2225

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G31574CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California General Surgeons Medical Group Inc Surgery Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 21, 2010 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 21, 2010 Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

225 W Broadway
Ste 100
Glendale, CA 91204
Phone (818) 545-7117

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1414 S Grand Ave
Ste 375
Los Angeles, CA 90015
Phone (213) 746-3783

2601 Via Campo
Montebello, CA 90640
Phone (323) 720-1144

401 S Fair Oaks Ave
Pasadena, CA 91105
Phone (323) 720-1144

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aweiss214325@westdirect.optum.com

Organizations & group practices 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1669552402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "SUITE 375",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-747-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "SUITE 375",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-747-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD, MA(ED)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G31574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.