Individual provider Active NPI

Jonathan Douglas Weaver, MD

  • Internal Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1851318331
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81411 Issued in CA
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

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001064 CA Practitioner - Internal Medicine 7315929858 Reassigns benefits to 1 organization

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
Westside Internal MedicineGroup PAC ID 1850353525, 8 clinicians

Practice addresses (Care Compare)

2121 Wilshire Blvd
Suite 304
Santa Monica, CA 90403-5743
Phone (310) 829-7762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81411CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Internal Medicine Internal Medicine CurrentSince May 10, 2005 Accepting new patients

Locations

2121 Wilshire Blvd
Ste 304
Santa Monica, CA 90403
Phone (310) 264-0065

Interoperability endpoints

  • FHIR API: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.