Active NPI
Sandra R Weitz, MD
- Pain Medicine (Anesthesiology) Physician
- Zephyr Cove, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 22562
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1534030 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204002735 | NV | Practitioner - Pain Management | 7911890603 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G68113 | CA | MD | Pain Medicine (Anesthesiology) Physician |
| 22562 | NV | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Home Health Solutions LLC | Current | 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 | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Comprehensive Home Health Solutions LLC | 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.
-
- Home Health Agency
- Reno, NV
- NPI 1952170177
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
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.
-
- Home Health Agency
- Reno, NV
- NPI 1952170177
-
- In Home Supportive Care Agency
- Reno, NV
- NPI 1962241893
-
- Ambulatory Surgical Clinic/Center
- Baton Rouge, LA
- NPI 1053453134
-
- Specialist
- Gonzales, LA
- NPI 1124152285
-
- Plastic and Reconstructive Surgery Physician
- Baton Rouge, LA
- NPI 1326180696
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.