Organization Active NPI

Weimar Medical Group, Inc.

  • Adult Medicine Physician
  • Auburn, CA
National Provider Identifier
1821349465
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
WEIMAR MEDICAL GROUP, INC.
Practice address
13300 New Airport Rd Ste 100
Auburn, CA 95602-7407
Phone
(530) 823-5300
Fax
(530) 823-5301
NPI assigned
Sep 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Raja Tooma, M.D.NPI 1497714927
Title
President
Phone
(909) 289-5185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

13300 New Airport Rd Ste 100
Auburn, CA 95602-7407

Mailing address

26377 Saint David St
Loma Linda, CA 92354-4177
Phone (909) 289-5185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000352 CA Part B Supplier - Clinic/Group Practice 8729231055 Receives reassigned benefits from 2 practitioners
Practice locations: Auburn, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2054185Weimar Medical Group Inc13300 New Airport Rd Ste 100, Auburn, CA 95602Provider-performed microscopyFeb 14, 2027

National Provider Directory

National Provider Directory

Locations

13300 New Airport Rd
Ste 100
Auburn, CA 95602
Phone (530) 823-5300

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1821349465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26377 SAINT DAVID ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544177",
            "telephone_number": "909-289-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 NEW AIRPORT RD STE 100",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956027407",
            "telephone_number": "530-823-5300",
            "fax_number": "530-823-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMAR MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "TOOMA",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-289-5185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.