| Weimar Medical Group, Inc. | |
|
13300 New Airport Rd Ste 100 Auburn CA 95602-7407 | |
| (530) 823-5300 | |
| (530) 823-5301 |
| Full Name | Weimar Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 13300 New Airport Rd Ste 100, Auburn, California |
| Authorized Official Name and Position | Raja Tooma (PRESIDENT) |
| Authorized Official Contact | 9092895185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weimar Medical Group, Inc. 26377 Saint David St Loma Linda CA 92354-4177 Ph: (909) 289-5185 | Weimar Medical Group, Inc. 13300 New Airport Rd Ste 100 Auburn CA 95602-7407 Ph: (530) 823-5300 |
| NPI Number | 1821349465 |
|---|---|
| Provider Enumeration Date | 09/23/2012 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 8729231055 |
|---|---|
| Medicare Enrollment ID | O20130116000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821349465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Raja Tooma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497714927 PECOS PAC ID: 6800970856 Enrollment ID: I20080715000942 |
| Provider Name | Neil Nedley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952336059 PECOS PAC ID: 4183608441 Enrollment ID: I20150514002969 |
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