Paul David Weiner

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E3880 Issued in CA

Legal business name

PAUL DAVID WEINER

Practice address

480 Redwood St
Suite 10
Vallejo, CA 94590-2958

Phone

(707) 643-3687

Fax

(707) 643-3077

NPI assigned

Mar 20, 2008

Last updated

Mar 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margie D Weiner

Title

Practice Manager

Phone

(707) 643-3687

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1730350422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE 10",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-643-3687",
            "fax_number": "707-643-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE 10",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-643-3687",
            "fax_number": "707-643-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DAVID WEINER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "707-643-3687"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Patterson, D.C.
• Samuel Eric Patterson
• Valerie L Patton, MSW, LCSW
• Candace Y. Pau, M.D.
• Paul B. Belusko, DDS, a Professional Corporation
• Benjamin Z. Paul, MD, PHD
• Howard A. Paul, PH.D.
• Lorraine Paule, RN
• Bianca Tayne Payne, N/A
• River Payne, PA-S

• Foot & Ankle Surgery Podiatrist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.