NPIMap

Organization Active NPI

Ronald Seymour Weaver MD Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1730430588
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G30118 Issued in CA
Legal business name
RONALD SEYMOUR WEAVER MD INC
Practice address
11860 Wilshire Blvd
Suite # 100
Los Angeles, CA 90025-6613
Phone
(310) 412-8181
Fax
(310) 412-9299
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Mr. Mo Soulati
Title
Billing Manager
Phone
(310) 412-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G30118 CA Primary

Addresses

Primary practice location

11860 Wilshire Blvd
Suite # 100
Los Angeles, CA 90025-6613

Mailing address

633 Aerick St
Suite 101
Inglewood, CA 90301-1902
Phone (310) 412-8181

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1730430588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 AERICK ST",
            "address_2": "SUITE 101",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011902",
            "telephone_number": "310-412-8181",
            "fax_number": "310-412-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BLVD",
            "address_2": "SUITE # 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256613",
            "telephone_number": "310-412-8181",
            "fax_number": "310-412-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD SEYMOUR WEAVER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "SOULATI",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-412-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.