Individual provider Active NPI

Alan C Weinberg, M.D.

  • Urology Physician
  • Fullerton, CA
National Provider Identifier
1851398382
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G47941 Issued in CA
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

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G479410MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20100920000394 CA Practitioner - Urology 4789776204 Reassigns benefits to 1 organization
I20221024000961 AZ Practitioner - Urology 4789776204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G47941CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Management, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Urological Medical Group of North Orange County Urology CurrentSince Jul 1, 1987 Accepting new patients
Infusion4Health CurrentSince Jul 1, 2021 Accepting new patients
Infusion Management, Inc. PastSince Aug 28, 2022 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Providence St. Jude Medical CenterFullerton, CA, CCN 050168 Hospital Corporate Director Jan 1, 2020
Providence St. Jude Medical CenterFullerton, CA, CCN 05T168 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.

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.

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

Verify at the official NPI Registry.