TIMOTHY EDWIN WEISS (M.D.) – Family Medicine Physician, NPI 1992024749

TIMOTHY EDWIN WEISS (M.D.) is a healthcare provider. based in Los angeles, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A120627 (CA). The NPI Number for TIMOTHY EDWIN WEISS (M.D.) is 1992024749

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY EDWIN WEISS (M.D.)
NPI
1992024749
Phone
Not provided
Address
5767 W CENTURY BLVD STE 400
Enumeration Date
19 May 2010
Last Update Date
25 November 2019

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3103194700
Graduation Year
2010 (16 years ago)
PAC ID
7416172028
Group Practice PAC ID
9739083866
Professional Enrollment ID
I20140715000798
Address ID
CA904043414SA1920XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for TIMOTHY EDWIN WEISS (M.D.)

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 1920 COLORADO AVE

    SANTA MONICA, CA 904043414

    Phone: (310) 319-4700

    Fax: (310) 453-5106

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140715000798IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16564$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15278$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5453$0
View full utilization report →

Insurance plans in this area (ZIP 90045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739083866View full group profile
NameSpecialtyState
Family PracticeCA
Family PracticeCA
Family Practice, Addiction MedicineCA
Family PracticeCA
Family Practice, Sports MedicineCA
Family Practice, Sports MedicineCA
-CA
Family PracticeCA
Internal MedicineCA
Family PracticeCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is TIMOTHY EDWIN WEISS (M.D.)'s NPI number?
TIMOTHY EDWIN WEISS (M.D.)'s NPI is 1992024749 — the number used across U.S. healthcare to identify this provider.
Would TIMOTHY EDWIN WEISS (M.D.) appear as active to a payer?
You can treat TIMOTHY EDWIN WEISS (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe TIMOTHY EDWIN WEISS (M.D.)'s focus?
For TIMOTHY EDWIN WEISS (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY EDWIN WEISS (M.D.) located near Los Angeles?
TIMOTHY EDWIN WEISS (M.D.) currently maps to Los Angeles, California in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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