Individual provider Active NPI

Linda Tigner-Weekes I, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1790851772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G28464 Issued in CA
Practice address
515 W 27TH St
Los Angeles, CA 90007-3204
Phone
(213) 749-0947
Fax
(213) 749-5379
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G28464 CA Primary

Addresses

Primary practice location

515 W 27TH St
Los Angeles, CA 90007-3204

Mailing address

853 Laguna Dr
Simi Valley, CA 93065-5306
Phone (213) 749-0947

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081115000197 CA Practitioner - Pediatric Medicine 5294895652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Jun 15, 2013 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Jun 15, 2013 Accepting new patients
St. Johns Well Child and Family Center Past Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBHDAD

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790851772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 LAGUNA DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655306",
            "telephone_number": "213-749-0947",
            "fax_number": "213-749-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 27TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073204",
            "telephone_number": "213-749-0947",
            "fax_number": "213-749-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGNER-WEEKES",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G28464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.