Active NPI
Carl Weinert, MD
- Pediatric Orthopaedic Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- G39051
- Practice address
- 1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854 - Phone
- (714) 633-2111
- Fax
- (714) 633-5615
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G39051 | CA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | G39051 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854
Mailing address
1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854
Phone (714) 633-2111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G390511 | Other | CA | MEDI-CAL LEGACY |
| W14179 | Other | CA | GROUP PTAN |
| 00G390510 | Medicaid | CA | |
| WG39051A | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39051 | CA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Pediatric Orthopaedic Specialists a Medical Group Inc | Specialist | Current | Accepting new patients |
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| State of California - Department of Developmental Services | Current | Accepting new patients | |
| Agnews Community Clinic | Current | Accepting new patients |
Locations
2501 Harbor Blvd
Costa Mesa, CA 92626
Phone (714) 957-5000
25982 Pala
Ste 230
Mission Viejo, CA 92691
Phone (949) 582-0125
1310 W Stewart Dr
Ste 508
Orange, CA 92868
Phone (714) 633-2111
26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- carl.weinert.1@9485.direct.athenahealth.com
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.
-
- Specialist
- Orange, CA
- NPI 1902831514
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1154372498
-
- Developmental Disabilities Clinic/Center
- San Jose, CA
- NPI 1710148515
-
- General Acute Care Hospital
- Costa Mesa, CA
- NPI 1225089592
-
- General Acute Care Hospital
- Eldridge, CA
- NPI 1851344220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234310400000",
"number": "1710939681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-633-2111",
"fax_number": "714-633-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-633-2111",
"fax_number": "714-633-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINERT",
"first_name": "CARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2009-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G39051",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "G39051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL LEGACY",
"identifier": "00G390511",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "W14179",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G390510",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WG39051A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.