Individual provider Active NPI

Daniel Wayne Weir, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1770081655
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008384 Issued in CA
Practice address
9665 Chesapeake Dr Ste 350
San Diego, CA 92123-1352
Phone
(657) 400-5180
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008384 CA Primary

Addresses

Primary practice location

9665 Chesapeake Dr Ste 350
San Diego, CA 92123-1352

Mailing address

1360 Kansas Cir
Concord, CA 94521-4615
Phone (916) 233-5158

Other practice location 1

1360 Kansas Cir
Concord, CA 94521-4615
Phone (916) 233-5158

Other practice location 2

2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone (323) 628-8671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531001019 CA Practitioner - Nurse Practitioner 3375808918 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008384CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samir Sairam, MD. Inc CurrentSince May 1, 2018 Accepting new patients
Concertocare Medical Group of California, P.C. CurrentSince Jan 22, 2024 Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: dweir@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1770081655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 KANSAS CIR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945214615",
            "telephone_number": "916-233-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9665 CHESAPEAKE DR STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231352",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Kansas Cir",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945214615",
            "country_code": "US",
            "telephone_number": "916-233-5158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Rosecrans Ave # 3230",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902454749",
            "country_code": "US",
            "telephone_number": "323-628-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.