Individual provider Active NPI

Weston John Lagrandeur, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1841781812
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A194474 Issued in CA
Practice address
455 Oconnor Dr Ste 210
San Jose, CA 95128-1632
Phone
(408) 995-5453
Fax
(206) 812-6176
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61142151 WA
Family Medicine Physician 207Q00000X A194474 CA Primary

Addresses

Primary practice location

455 Oconnor Dr Ste 210
San Jose, CA 95128-1632

Mailing address

455 Oconnor Dr Ste 210
San Jose, CA 95128-1632
Phone (408) 995-5453

Other practice location 1

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400

Other practice location 2

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431

Other practice location 3

2039 Forest Ave Ste 105
San Jose, CA 95128-4815
Phone (408) 947-2929

Other identifiers 2

IdentifierTypeStateIssuer
1841781812MedicaidCA
2194638MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211029002099 WA Practitioner - Family Practice 4183976780 Reassigns benefits to 1 organization
I20240702003696 CA Practitioner - Family Practice 4183976780 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

455 Oconnor Dr
Suite 210
San Jose, CA 95128-1632
Phone (408) 995-5453

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194474CAMDFamily Medicine Physician
MD61142151WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Current Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jul 18, 2024 Accepting new patients
Stanford Health Care CurrentSince Jun 19, 2024 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jun 19, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 26, 2021 Accepting new patients
University Healthcare Alliance CurrentSince Jun 19, 2024 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jul 18, 2024 Accepting new patients
Stanford Health Care CurrentSince Jun 19, 2024 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Oct 26, 2021 Accepting new patients
Affinity Medical Group Past Accepting new patients
County of Santa Clara Family Medicine Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

14251 Winchester Blvd
#200
Los Gatos, CA 95032
Phone (408) 426-5540

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

455 Oconnor Dr
Ste 210
San Jose, CA 95128
Phone (408) 831-5744

2410 Samaritan Dr
Ste 201
San Jose, CA 95124
Phone (408) 371-9010

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

1333 Meridian Ave
San Jose, CA 95125

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

14434 Ambaum Blvd SW
Ste 5
Burien, WA 98166
Phone (206) 244-9482

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Interoperability endpoints

  • Direct secure messaging: wlagrandeur590019@direct.multicare.org
  • Direct secure messaging: wlagrandeur453441@direct.stanfordhealthcare.org

Organizations & group practices 12

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 11

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1841781812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-995-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "408-995-5453",
            "fax_number": "206-812-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255212",
            "country_code": "US",
            "telephone_number": "408-445-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-445-3431",
            "fax_number": "408-238-3874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "fax_number": "408-283-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGRANDEUR",
        "first_name": "WESTON",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61142151",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A194474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841781812",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194638",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.