Individual provider Active NPI

Sanford Jay Weitzbuch, DPM

  • Podiatrist
  • Encino, CA
National Provider Identifier
1982640496
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2393 Issued in CA
Practice address
16311 Ventura Blvd
Suite 650
Encino, CA 91436-2124
Phone
(818) 907-5433
Fax
(818) 224-4886
NPI assigned
Jun 22, 2006
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2393 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
Suite 650
Encino, CA 91436-2124

Mailing address

4499 Alta Tupelo Dr
Calabasas, CA 91302-2514
Phone (818) 907-5433

Other identifiers 1

IdentifierTypeStateIssuer
000E23930MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000513 CA Practitioner - Podiatry 0749342020 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16311 Ventura Blvd
Suite 650
Encino, CA 91436-4320
Phone (818) 907-5433

4499 Alta Tupelo Dr
Calabasas, CA 91302-2514

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue618
Removal or shaving of skin growth329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2393CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1982640496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 ALTA TUPELO DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022514",
            "telephone_number": "818-907-5433",
            "fax_number": "818-224-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 650",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-907-5433",
            "fax_number": "818-224-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZBUCH",
        "first_name": "SANFORD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E23930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.