Allan Gary Weiss, DPM A PROFESSIONAL

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E1917 Issued in CA

Practice address

705 W la Veta
#100
Orange, CA 92868

Phone

(714) 628-1995

Fax

(714) 628-1983

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bonnie Lin DPM a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
  • NPI 1467831420
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1962467209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA",
            "address_2": "#100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA",
            "address_2": "#100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-628-1995",
            "fax_number": "714-628-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ALLAN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DPM A PROFESSIONAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E19170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Mitchell Weiner, M.D.
• Carl Weinert, MD
• Nina D Weinstein, PHARM D
• Jamie Lynn Weir, LMFT
• Carla Weis, M.D.
• Irene Iris Weiss
• John H Weiss, MD
• Madeleine Eva Weiss, MD
• Daniel Leo Weissberg, M.D.
• Martin J Weissman, M.D.

• Podiatrist in Orange, CA
• Providers in Orange, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.