Individual provider Active NPI

Geoffrey D Weinstein, MD

  • Radiation Oncology Physician
  • San Diego, CA
National Provider Identifier
1841233947
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A54109 Issued in CA
Practice address
3075 Health Center Drive
Level 0
San Diego, CA 92123
Phone
(858) 939-5010
Fax
(858) 939-5021
NPI assigned
Jun 14, 2006
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A54109 CA
Radiation Oncology Physician 2085R0001X A54109 CA Primary

Addresses

Primary practice location

3075 Health Center Drive
Level 0
San Diego, CA 92123

Mailing address

5725 Kearny Villa Road
Suite I
San Diego, CA 92123
Phone (858) 256-0351

Other identifiers 2

IdentifierTypeStateIssuer
A54109OtherCAMEDICAL LICENSE
00A541090MedicaidCA

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
I20100303000276 CA Practitioner - Radiation Oncology 0042286551 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54109CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Medical Group Radiation Oncology Inc Specialist CurrentSince Jan 7, 2010 Accepting new patients
Cerebrovascular & Endovascular Neurosurgery San Diego Inc PastSince Feb 16, 2020 Accepting new patients
Sharp Chula Vista Medical Center PastSince Jan 7, 2010 Accepting new patients

Locations

769 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 502-3664

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

3075 Health Center Dr
#0
San Diego, CA 92123
Phone (858) 939-5010

5725 Kearny Villa Rd
Ste I
San Diego, CA 92123

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

Interoperability endpoints

  • Direct secure messaging: geoffrey.weinstein@sharp.direct.varian.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1841233947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 KEARNY VILLA ROAD",
            "address_2": "SUITE I",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-256-0351",
            "fax_number": "582-560-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DRIVE",
            "address_2": "LEVEL 0",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-939-5010",
            "fax_number": "858-939-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "GEOFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A54109",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A54109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A54109",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A541090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.