DR. KATHRYN ANN WEAVER MD
NPI 1992187686
Psychiatry & Neurology - Child & Adolescent Psychiatry in La Jolla, CA

Q: What is Kathryn Weaver's NPI number?

The NPI number for Kathryn Weaver is 1992187686. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Kathryn Weaver's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Weaver was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment

8950 VILLA LA JOLLA DR STE C230, LA JOLLA, CA 92037(925) 282-1778(415) 296-5299 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Jan 30, 2023, Aug 3, 2022 and 1 more (4 updates tracked since 2016).

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About Dr. Kathryn Ann Weaver Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN ANN WEAVER MD (NPI 1992187686) is an individual child & adolescent psychiatry provider in La Jolla, California, licensed in California (A156117) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fullerton, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992187686

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. KATHRYN ANN WEAVERCredential: MD

Location Address8950 VILLA LA JOLLA DR STE C230La Jolla, CA 92037-1712

Mailing Address8950 Villa La Jolla Dr Ste C230La Jolla, CA 92037-1712 · (925) 282-1778 · Fax (415) 296-5299

Phone(925) 282-1778

Fax(415) 296-5299

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 18, 2015

Last NPPES UpdateApril 7, 20254 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1992187686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · A156117

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

8950 VILLA LA JOLLA DR STE C230, La Jolla, CA 92037

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Secondary Practice Location 1

Location 11835 Sunny Crest DrFullerton, CA 92835-3616 · Phone (714) 446-5101

Other Identifiers 1

OtherA156117CA · Medical License

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

Dr. Kathryn Ann 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.

PECOS PAC ID3870898638

PECOS Enrollment IDI20230202002919

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ANDREA S VOEHL MA, LPCC

Counselor (Professional)