Individual provider Active NPI

Scott Weigold, MD

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1992895056
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84380 Issued in CA
Practice address
9990 County Farm Rd
Suite 1
Riverside, CA 92503-3542
Phone
(925) 358-4881
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A84380 CA Primary

Addresses

Primary practice location

9990 County Farm Rd
Suite 1
Riverside, CA 92503-3542

Mailing address

9990 County Farm Rd
Suite 1
Riverside, CA 92503-3542
Phone (925) 358-4881

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
I20040914000547 CA Practitioner - Psychiatry 0446227904 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84380CAMDPharmacist
A84380CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Feb 29, 2016 Accepting new patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince Feb 29, 2016 Accepting new patients
County of Solano Past Accepting new patients
Riverside County Regional Medical Center Past Accepting new patients

Locations

1330 W Ramsey St
Ste 100
Banning, CA 92220
Phone (951) 849-7142

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

769 W Blaine St
Ste B
Riverside, CA 92507
Phone (951) 358-4705

7140 Indiana Ave
Riverside, CA 92504
Phone (909) 358-6035

9990 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 358-4790

Interoperability endpoints

  • Direct secure messaging: sweigold96851@direct.llu.edu

Organizations & group practices 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1992895056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "925-358-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 COUNTY FARM RD",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033542",
            "telephone_number": "925-358-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGOLD",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.