Individual provider Active NPI

Sandra R Weitz, MD

  • Pain Medicine (Anesthesiology) Physician
  • Zephyr Cove, NV
National Provider Identifier
1952355232
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
22562 Issued in NV
Practice address
660 Lake Shore Blvd
Zephyr Cove, NV 89448
Phone
(225) 773-0473
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G68113 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 22562 NV Primary

Addresses

Primary practice location

660 Lake Shore Blvd
Zephyr Cove, NV 89448

Mailing address

833 N Las Palmas Ave
Los Angeles, CA 90038-3515
Phone (225) 773-0473

Other practice location 1

833 N Las Palmas Ave
Los Angeles, CA 90038-3515
Phone (225) 773-0473

Other identifiers 1

IdentifierTypeStateIssuer
1534030MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20231204002735 NV Practitioner - Pain Management 7911890603

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G68113CAMDPain Medicine (Anesthesiology) Physician
22562NVMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Home Health Solutions LLC CurrentSince Jan 31, 2023 Accepting new patients
Comprehensive Home Health Solutions LLC Current Accepting new patients
Our Lady of the Lake Hospital Inc Past Accepting new patients
Advanced Surgical Concepts LLC PastSince Dec 20, 2002 Accepting new patients
Comprehensive Pain Management, LLC Specialist Past Accepting new patients

Locations

1005 Terminal Way
Ste 135
Reno, NV 89502
Phone (225) 773-0473

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Comprehensive Home Health Solutions LLCReno, NV, CCN 297374 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
W-2 Managing Employee (50%)
Jan 31, 2023
Jan 31, 2023
Jan 31, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1952355232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N LAS PALMAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383515",
            "telephone_number": "225-773-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LAKE SHORE BLVD",
            "city": "ZEPHYR COVE",
            "state": "NV",
            "postal_code": "89448",
            "telephone_number": "225-773-0473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 N Las Palmas Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900383515",
            "country_code": "US",
            "telephone_number": "225-773-0473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITZ",
        "first_name": "SANDRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G68113",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "22562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534030",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyr Cove, NV

Sources for this page

Verify at the official NPI Registry.