Organization Active NPI

Allan Gary Weiss DPM a Professional Corp

  • Podiatrist
  • Orange, CA
National Provider Identifier
1912215708
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1917 Issued in CA
Legal business name
ALLAN GARY WEISS DPM A PROFESSIONAL CORP
Practice address
705 W la Veta Ave Ste 100
Orange, CA 92868-4447
Phone
(714) 628-1995
Fax
(714) 628-1983
NPI assigned
Sep 15, 2010
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Allan Gary Weiss DPM, DPM
Title
Owner
Phone
(714) 628-1995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1917 CA Primary

Addresses

Primary practice location

705 W la Veta Ave Ste 100
Orange, CA 92868-4447

Mailing address

705 W la Veta Ave Ste 100
Orange, CA 92868-4447
Phone (714) 628-1995

National Provider Directory

National Provider Directory

Locations

705 W La Veta Ave
Ste 100
Orange, CA 92868
Phone (714) 628-1995

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1912215708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-628-1995",
            "fax_number": "714-628-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-628-1995",
            "fax_number": "714-628-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN GARY WEISS DPM A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "WEISS DPM",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-628-1995",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.