Organization Active NPI

Noah D. Weiss, MD Inc

  • Orthopaedic Surgery Physician
  • Sonoma, CA
National Provider Identifier
1700150794
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G70397 Issued in CA
Legal business name
NOAH D. WEISS, MD INC
Practice address
462 W Napa St Ste a
Sonoma, CA 95476-6519
Phone
(707) 935-5600
Fax
(707) 935-5606
NPI assigned
Mar 8, 2012
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Noah Weiss, MDNPI 1225126444
Title
Owner
Phone
(707) 935-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G70397 CA Primary

Addresses

Primary practice location

462 W Napa St Ste a
Sonoma, CA 95476-6519

Mailing address

Dept la 24687
Pasadena, CA 91185-4687
Phone (707) 935-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000333 CA Part B Supplier - Clinic/Group Practice 8022277615 Receives reassigned benefits from 2 practitioners
Practice locations: Novato, CA; Sonoma, CA

National Provider Directory

National Provider Directory

Locations

1700 Soscol Ave
Ste 1
Napa, CA 94559
Phone (707) 224-9500

246 Perkins St
Sonoma, CA 95476
Phone (707) 800-5242

368 Perkins St
Sonoma, CA 95476
Phone (707) 935-5605

Practitioners & affiliated clinicians

Practitioners 4

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": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1700150794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 24687",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911854687",
            "telephone_number": "707-935-5600",
            "fax_number": "707-935-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W NAPA ST STE A",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766519",
            "telephone_number": "707-935-5600",
            "fax_number": "707-935-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH D. WEISS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-935-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G70397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.