Timothy Edwin Weiss
Student in an Organized Health Care Education/Training Program

Address: 1920 Colorado Ave, Santa Monica, CA 90404-3414
Phone: 3103194700

Timothy Edwin Weiss (NPI# 1992024749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1992024749
Entity Type Individual
Full Name Timothy Edwin Weiss
Credential M.D.
Gender Male
Practice Address 1920 Colorado Ave
Santa Monica
CA 90404-3414
Practice Telephone 3103194700
Mailing Address 1420 Ravenswood Ln
Riverside
CA 92506-5541
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2010-05-19
Last Update Date 2010-05-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Physician Overview

NPI 1992024749
PAC ID by PECOS 7416172028
Professional Enrollment ID I20140715000798
Full Name Timothy E Weiss
Organization Legal Name UC REGENTS UCLA FAMILY HEALTH CENTER
Phone Number 3103194700
Gender M
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 9739083866
Number of Group Practice Members 34
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050262 RONALD REAGAN U C L A MEDICAL CENTER
050112 SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL

Office Location

Street Address 1920 COLORADO AVE
City SANTA MONICA
State CA
Zip Code 90404-3414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275591802 Uc Regents Ucla Family Health Center Family Medicine 1920 Colorado Ave, Santa Monica, CA 90404-3414 2006-05-03
1093212334 Amy M Richards Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-12
1922505494 Angela Patricia Sepulveda Velez Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-10
1578060588 Jennifer Kho Ting Casabar Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-07
1992202808 Michael Ohkura Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-07
1275030397 Abhipsa Kar Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-06
1881190072 Lauren Kim Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-05
1669978862 Brian Patrick Donohoe Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2018-04-05
1407380975 Vinh Lam Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2017-04-11
1972034411 Amy Anne Tressan Student in an Organized Health Care Education/Training Program 1920 Colorado Ave, Santa Monica, CA 90404-3414 2017-03-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Counselor 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
1467823278 Alexandra Daniela Arroyo Behavior Analyst 1838 22nd St Apt 2, Santa Monica, CA 90404 2015-10-20
1720498504 Alan Jeff Baldrias Nurse Practitioner 3300 East South St. # 203, Long Beach, CA 90404 2014-05-02
1598185647 Matthew Mcadams Rehabilitation Practitioner 1453 16th St., Santa Monica, CA 90404 2014-04-16
1720410061 Jennafer Diane Piccolo Francis Physician Assistant 9915 S. Santa Monica Blvd, Beverly Hills, CA 90404 2013-08-08
Find all providers in zip 90404

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649705815 Matthew Lamagna Student in an Organized Health Care Education/Training Program 1251 14th St Apt 213, Santa Monica, CA 90404-1026 2017-04-25
1003341314 Deanna Dow Student in an Organized Health Care Education/Training Program 2021 10th St, Santa Monica, CA 90405-1303 2017-04-24
1467986356 Monica Jain Student in an Organized Health Care Education/Training Program 937 18th St, #5, Santa Monica, CA 90403-3246 2017-04-18
1407205040 Ryan Raouf Student in an Organized Health Care Education/Training Program 1007 12th St, Santa Monica, CA 90403-4205 2016-06-04
1679935944 Peter Paul Hsiue Student in an Organized Health Care Education/Training Program 1250 16th St Ste 3142, Santa Monica, CA 90404-1249 2016-03-24
1598163909 Jennifer Dinardi Student in an Organized Health Care Education/Training Program 2254 29th St Apt A, Santa Monica, CA 90405-2032 2014-12-17
1982005849 Allegra Comas Student in an Organized Health Care Education/Training Program 2033 Euclid St Apt 2, Santa Monica, CA 90405-1501 2014-09-10
1578993937 Lindsay Anne O'shea Student in an Organized Health Care Education/Training Program 1527 4th St Fl 3, Santa Monica, CA 90401-2358 2013-11-22
1659716876 Eric Wirtschafter Student in an Organized Health Care Education/Training Program 236 Bay St Apt 7, Santa Monica, CA 90405-1073 2013-05-01
1619311610 Anshula Odekar Shekar Student in an Organized Health Care Education/Training Program 1548 6th St Apt 506, Santa Monica, CA 90401-2879 2013-04-20
Find all providers in SANTA MONICA

Competitor

Search similar providers

City SANTA MONICA
Zip Code 90404

Improve Information

Please comment or provide details below to improve the information on Timothy Edwin Weiss.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches