Individual provider Active NPI

Gregory J Wiener, M.D

  • Gastroenterology Physician
  • Chula Vista, CA
National Provider Identifier
1811099534
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A41749 Issued in CA
Practice address
353 Church Ave # a
Chula Vista, CA 91910-3906
Phone
(619) 585-8883
Fax
(619) 585-8892
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A41749 CA Primary

Addresses

Primary practice location

353 Church Ave # a
Chula Vista, CA 91910-3906

Mailing address

353A Church Ave
Chula Vista, CA 91910-3906
Phone (619) 585-8883

Other identifiers 1

IdentifierTypeStateIssuer
00A417490MedicaidCA

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
I20080407000654 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 9032126230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory J Wiener M D Professional CorporationGroup PAC ID 6901983519, 4 clinicians

Practice addresses (Care Compare)

353 Church Ave
Suite a
Chula Vista, CA 91910-3906
Phone (619) 585-8883

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41749CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory J Wiener M D Professional Corporation CurrentSince Jan 1, 2008 Accepting new patients
Scripps Health CurrentSince Apr 13, 2009 Accepting new patients
Scripps Health Current Accepting new patients
Vitali Aizin, M.D. Inc. Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 19, 2010 Accepting new patients
Scripps Health CurrentSince Apr 13, 2009 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

353 Church Ave
#A
Chula Vista, CA 91910
Phone (619) 585-8883

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

353 Church Ave
Chula Vista, CA 91910

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gregory.wiener@4092.securemail.prognocis.com
  • Direct secure messaging: gwiener81742@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1811099534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353A CHURCH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103906",
            "telephone_number": "619-585-8883",
            "fax_number": "619-585-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CHURCH AVE # A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103906",
            "telephone_number": "619-585-8883",
            "fax_number": "619-585-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A41749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.