Individual provider Active NPI

John Alden Weeks, M.D.

  • Family Medicine Physician
  • Clearlake, CA
National Provider Identifier
1962473074
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G38230 Issued in CA
Practice address
15230 Lakeshore Dr
Suite 101
Clearlake, CA 95422-8107
Phone
(707) 994-7377
Fax
(707) 994-9456
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G38230 CA Primary

Addresses

Primary practice location

15230 Lakeshore Dr
Suite 101
Clearlake, CA 95422-8107

Mailing address

PO Box 4119
15230 Lakeshore Drive, Suite 101
Clearlake, CA 95422-4119
Phone (707) 994-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090423000620 CA Practitioner - Family Practice 1052220746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38230CAMDOrthopaedic Surgery Physician
38203CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Feb 26, 2017 Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 26, 2017 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients

Locations

15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500

15230 Lakeshore Dr
Ste 101
Clearlake, CA 95422
Phone (707) 994-7377

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

Organizations & group practices 4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1962473074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4119",
            "address_2": "15230 LAKESHORE DRIVE, SUITE 101",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954224119",
            "telephone_number": "707-994-7377",
            "fax_number": "707-994-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 LAKESHORE DR",
            "address_2": "SUITE 101",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228107",
            "telephone_number": "707-994-7377",
            "fax_number": "707-994-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "JOHN",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G38230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearlake, CA

Sources for this page

Verify at the official NPI Registry.