Jeffrey R. Weiner, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G33003 Issued in CA

Legal business name

JEFFREY R. WEINER, M.D., INC.

Practice address

215 N San Mateo Dr
Suite # 10
San Mateo, CA 94401-2622

Phone

(650) 579-1020

Fax

(650) 579-1027

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey R. Weiner, M.D.NPI 1508138090

Title

President

Phone

(650) 579-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey R Weiner, M.D.

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1508138090
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1962540666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR",
            "address_2": "SUITE # 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012622",
            "telephone_number": "650-579-1020",
            "fax_number": "650-579-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR",
            "address_2": "SUITE # 10",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012622",
            "telephone_number": "650-579-1020",
            "fax_number": "650-579-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. WEINER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-579-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G33003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G330030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sagrika Jawadi
• Christina Faith Jee, MPT
• Mark Anthony Jefferson Jr., MFTI
• Jeffrey J. Guttas, M.D. a Medical Corporation
• Jeffrey J. Guttas. MD, Inc.
• David Jegge
• Paul Jemelian, MD
• Melinda Rose Jenkins
• Patricia L Jenkins, RN
• Faye Gerri Jennings, RN

• Psychiatry Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.