Active NPI
Emily Jean Weinberg
- Student in an Organized Health Care Education/Training Program
- San Mateo, CA
National Provider Identifier
1891389730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1021 S El Camino Real
San Mateo, CA 94402-2801 - Phone
- (650) 355-8787
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1021 S El Camino Real
San Mateo, CA 94402-2801
Mailing address
2647 Garfield St
San Mateo, CA 94403-2321
Phone (206) 972-2124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR139711 | Other | CA | LIABILITY INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1891389730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 GARFIELD ST",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032321",
"telephone_number": "206-972-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022801",
"telephone_number": "650-355-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "EMILY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIABILITY INSURANCE",
"identifier": "AR139711",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.