Active NPI
Alan C Weinberg, M.D.
- Urology Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G47941
- Practice address
- 301 W Bastanchury Rd
#180
Fullerton, CA 92835-3427 - Phone
- (714) 870-5970
- Fax
- (714) 870-4792
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G47941 | CA | Primary |
Addresses
Primary practice location
301 W Bastanchury Rd
#180
Fullerton, CA 92835-3427
Mailing address
301 W Bastanchury Rd
# 180
Fullerton, CA 92835-3419
Phone (714) 870-5970
Other practice location 1
79440 Corporate Center Dr Ste 100
LA Quinta, CA 92253-7243
Phone (805) 719-3700
Other practice location 2
2720 N Harbor Blvd Ste 200
Fullerton, CA 92835-2626
Phone (805) 719-3700
Other practice location 3
440 N Mountain Ave Ste 103
Upland, CA 91786-5183
Phone (805) 719-3700
Other practice location 4
23456 Hawthorne Blvd Ste 140
Torrance, CA 90505-4716
Phone (805) 719-3700
Other practice location 5
24012 Calle De La Plata Ste 230
Laguna Hills, CA 92653-7623
Phone (805) 719-3700
Other practice location 6
2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743
Phone (805) 719-3700
Other practice location 7
501 N Central Ave
Glendale, CA 91203-1901
Phone (805) 719-3700
Other practice location 8
77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Phone (805) 719-3700
Other practice location 9
27555 Ynez Rd Ste 370
Temecula, CA 92591-4678
Phone (805) 719-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G479410 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G47941 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Management, Inc. | Current | Accepting new patients | |
| Urological Medical Group of North Orange County | Urology | Current | Accepting new patients |
| Infusion4Health | Current | Accepting new patients | |
| Infusion Management, Inc. | Past | Accepting new patients | |
| Urological Medical Group of North Orange County | Urology | Past | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
1910 S Stapley Dr
Ste 130
Mesa, AZ 85204
1661 E Camelback Rd
Ste 270
Phoenix, AZ 85016
1104 Buchanan Rd
Ste B5
Antioch, CA 94509
Phone (925) 757-9012
8339 Brimhall Rd
Ste 1301
Bakersfield, CA 93312
135 S State College Blvd
Ste 350
Brea, CA 92821
1125 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 896-0400
301 W Bastanchury Rd
Ste 180
Fullerton, CA 92835
Phone (714) 870-5970
2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900
301 W Bastanchury Rd
Ste 1
Fullerton, CA 92835
Phone (714) 525-2251
301 W Bastanchury Rd
Ste 18
Fullerton, CA 92835
Phone (714) 870-5970
1400 N Harbor Blvd
Ste 300
Fullerton, CA 92835
Phone (714) 830-5970
501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757
79440 Corporate Center Dr
Ste 101
La Quinta, CA 92253
Phone (760) 777-4067
79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253
24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757
333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 333-5800
4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515
2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777
27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299
77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099
23456 Hawthorne Blvd
Ste 140
Torrance, CA 90505
440 N Mountain Ave
Ste 103
Upland, CA 91786
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- alan.weinberg.p1@direct.ifh.nextgenshare.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Providence St. Jude Medical Center | Hospital | Corporate Director | Jan 1, 2020 |
| Providence St. Jude Medical Center | Hospital | Corporate Director | Jan 1, 2020 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Corporate Director
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
Corporate Director
-
dba Providence St. Jude Medical Center
- Rehabilitation Hospital
- Fullerton, CA
- NPI 1942404165
Corporate Director
Organizations & group practices 6
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.
-
dba Infusion for Health
- Infusion Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1508262213
-
dba Infusion for Health
- Infusion Therapy Clinic/Center
- Mesa, AZ
- NPI 1447903059
-
dba Southland Urology
- Urology Physician
- Fullerton, CA
- NPI 1548376577
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- Urology Physician
- Fullerton, CA
- NPI 1154329266
-
dba Infusion For Health
- Infusion Therapy Clinic/Center
- Phoenix, AZ
- NPI 1518686344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1851398382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "# 180",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353419",
"telephone_number": "714-870-5970",
"fax_number": "714-870-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "#180",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353427",
"telephone_number": "714-870-5970",
"fax_number": "714-870-4792"
}
],
"practiceLocations": [
{
"address_1": "79440 Corporate Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "LA Quinta",
"state": "CA",
"postal_code": "922537243",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2720 N Harbor Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928352626",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 N Mountain Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917865183",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23456 Hawthorne Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905054716",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24012 Calle De La Plata Ste 230",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926537623",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 Wilshire Blvd Ste 303",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904035743",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N Central Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912031901",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "77 Rolling Oaks Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913611018",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27555 Ynez Rd Ste 370",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925914678",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEINBERG",
"first_name": "ALAN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G47941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G479410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.