LISA DITSHEKO WEAVER MD
NPI 1700345584
Family Medicine in San Diego, CA
About Lisa Ditsheko Weaver Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA DITSHEKO WEAVER MD (NPI 1700345584) is an individual family medicine provider in San Diego, California, licensed in California (A180077) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Ditsheko Weaver Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Weaver's NPI number?
The NPI number for Lisa Weaver is 1700345584. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Lisa Weaver located?
Lisa Weaver practices at 1809 National Ave, San Diego, CA 92113. The listed phone number is (619) 515-2300.
What is Lisa Weaver's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lisa Weaver enrolled in Medicare?
Yes. Lisa Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Lisa Weaver was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Ditsheko Weaver, MD · NPI 1700345584
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1700345584 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A180077 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1809 NATIONAL AVE, San Diego, CA 92113-2113
- **Phone:** (619) 515-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700345584) · Data from the CMS NPPES public registry.