Active NPI
Jonathan Douglas Weaver, MD
- Internal Medicine Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A81411
- Practice address
- 2121 Wilshire Blvd
#103
Santa Monica, CA 90403 - Phone
- (310) 264-0065
- Fax
- (310) 829-3424
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A81411 | CA | Primary |
Addresses
Primary practice location
2121 Wilshire Blvd
#103
Santa Monica, CA 90403
Mailing address
2121 Wilshire Blvd Ste 304
Santa Monica, CA 90403-5743
Phone (310) 264-0065
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Geffen School of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2121 Wilshire Blvd
Suite 304
Santa Monica, CA 90403-5743
Phone (310) 829-7762
Hospital & facility affiliations
- Calipso Home Health Care Inc
- Reliance Home Health Care, Inc.
- Vitas Healthcare Corporation of California
- Roze Room Hospice
- Saint John'S Health Center
- Ronald Reagan UCLA Medical Center
- Eisenhower Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81411 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Internal Medicine | Internal Medicine | Current | Accepting new patients |
Locations
2121 Wilshire Blvd
Ste 304
Santa Monica, CA 90403
Phone (310) 264-0065
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIBHAA
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Santa Monica, CA
- NPI 1184631251
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northridge, CA
- NPI 1972672996
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Community Based Hospice Care Agency
- Culver City, CA
- NPI 1750383071
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
-
- Home Health Agency
- Glendale, CA
- NPI 1881019545
-
- Community Based Hospice Care Agency
- Encino, CA
- NPI 1194869750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1851318331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 WILSHIRE BLVD STE 304",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035743",
"telephone_number": "310-264-0065",
"fax_number": "310-829-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 WILSHIRE BLVD",
"address_2": "#103",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-264-0065",
"fax_number": "310-829-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "JONATHAN",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A81411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.