Charles Ernest Weidmann, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G048620 Issued in CA

Practice address

15243 Vanowen St
Suite 306
Van Nuys, CA 91405-3649

Phone

(818) 781-0232

Fax

(818) 781-4132

NPI assigned

Nov 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Rheumatology

Education

Georgetown University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Rheumatology Medical CorporationGroup PAC ID 2769651439, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.08 of 100Reported as group

Quality

94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Rheumatology Medical Corporation

  • Rheumatology Physician
  • Los Angeles, CA
  • NPI 1982911160
  Medicare reassignment Care Compare group NPD
• West Coast Rheumatology Associates

  • Rheumatology Physician
  • Van Nuys, CA
  • NPI 1376848614
  NPD (past) Authorized official

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1851372288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN STREET",
            "address_2": "SUITE 306",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053649",
            "telephone_number": "818-781-0232",
            "fax_number": "818-781-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 VANOWEN ST",
            "address_2": "SUITE 306",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053649",
            "telephone_number": "818-781-0232",
            "fax_number": "818-781-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMANN",
        "first_name": "CHARLES",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G048620",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G048620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G486200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Webber-Peaslee
• Wecare Inc
• Gennifer Lynne Wecker, B.A. PSYCH
• Wayne Steven Weckhurst
• Brooklyn Wedemeyer
• Jason Weingarten
• Barry Weiss, PT
• Well Care Congregate Living Health Facility, Inc
• Well Care Home Health Care Inc
• Well Care Hospice & Palliative Care Inc

• Rheumatology Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.

Verify at the official NPI Registry.