Active NPI
Fredric E Weiss Inc
- Gastroenterology Physician
- Encino, CA
National Provider Identifier
1760647283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G29963
- Legal business name
- FREDRIC E WEISS INC
- Practice address
- 16311 Ventura Blvd
1175
Encino, CA 91436-4359 - Phone
- (818) 501-4277
- Fax
- (818) 501-3113
- NPI assigned
- Jul 24, 2008
- Organization subpart
- Yes
- Parent organization
- FREDRIC E. WEISS M.D. INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathy Weiss
- Title
- Office Manager
- Phone
- (818) 501-4277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G29963 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
1175
Encino, CA 91436-4359
Mailing address
16311 Ventura Blvd
1175
Encino, CA 91436-4359
Phone (818) 501-4277
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G299631 | Other | CA | BLUE SHIELD |
| 00G299631 | Medicaid | CA | |
| G299631 | Other | CA | BLUE CROSS |
Other names 1
- Fredric E. Weiss M.D. Inc.
National Provider Directory
National Provider Directory- Part of
- Fredric E Weiss Inc
Locations
16311 Ventura Blvd
Ste 1175
Encino, CA 91436
Phone (818) 501-4277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229644800000",
"number": "1760647283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "1175",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364359",
"telephone_number": "818-501-4277",
"fax_number": "818-501-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "1175",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364359",
"telephone_number": "818-501-4277",
"fax_number": "818-501-3113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDRIC E WEISS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FREDRIC E. WEISS M.D. INC.",
"enumeration_date": "2008-07-24",
"last_updated": "2008-12-19",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "818-501-4277",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G29963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "G299631",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G299631",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G299631",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fredric E. Weiss M.D. Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.