Individual provider Active NPI

Jeffrey A. Weisz, MD

  • Hematology & Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1972651966
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C36346 Issued in CA
Practice address
4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone
(323) 783-4011
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C36346 CA Primary

Addresses

Primary practice location

4760 W Sunset Blvd
Los Angeles, CA 90027-6063

Mailing address

4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone (323) 783-4011

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
I20251230002434 CA Practitioner - Hematology/OncologyPractitioner - General Practice 0648286716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: General Practice
Education
Wayne State University School of Medicine, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3605 Long Beach Blvd
Long Beach, CA 90807-4013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C36346CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Saviors Advanced Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest PastSince Nov 29, 2009 Accepting new patients

Locations

3605 Long Beach Blvd
Ste 210F
Long Beach, CA 90807
Phone (714) 698-9826

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1972651966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276063",
            "telephone_number": "323-783-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276063",
            "telephone_number": "323-783-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISZ",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C36346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.