Individual provider Active NPI

Hal Marcus Weitzbuch, M.D., M.S., FAAD

  • Dermatology Physician
  • Calabasas, CA
National Provider Identifier
1669629317
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A 121615 Issued in CA
Practice address
23501 Park Sorrento Ste 216
Calabasas, CA 91302-1308
Phone
(818) 222-7495
Fax
(818) 222-7498
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A 121615 CA Primary

Addresses

Primary practice location

23501 Park Sorrento Ste 216
Calabasas, CA 91302-1308

Mailing address

23501 Park Sorrento Ste 216
Calabasas, CA 91302-1308
Phone (818) 222-7495

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
I20120823000687 CA Practitioner - Dermatology 3779730932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hal M Weitzbuch MD Medical CorporationGroup PAC ID 3375795123, 4 clinicians

Practice addresses (Care Compare)

23501 Park Sorrento
Suite 216
Calabasas, CA 91302-1383
Phone (818) 222-7495

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of tissue20
Removal of skin lesions4548
Removal of skin cancer197
Removal or shaving of skin growth107
Skin biopsy1435

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 121615CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. de Stefano, M.D., Inc. Current Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2012 Accepting new patients
Hal M. Weitzbuch, M.D. Medical Corporation CurrentSince Oct 23, 2012 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2012 Accepting new patients
Hal M. Weitzbuch, M.D. Medical Corporation Past Accepting new patients

Locations

23501 Park Sorrento
Ste 216
Calabasas, CA 91302
Phone (818) 222-7495

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1000 Newbury Rd
Ste 180
Thousand Oaks, CA 91320
Phone (805) 480-2600

Organizations & group practices 5

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1669629317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 PARK SORRENTO STE 216",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021308",
            "telephone_number": "818-222-7495",
            "fax_number": "818-222-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 PARK SORRENTO STE 216",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021308",
            "telephone_number": "818-222-7495",
            "fax_number": "818-222-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZBUCH",
        "first_name": "HAL",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S., FAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A 121615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.