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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Weaver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
311 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (925) 282-1778
CONTESSA STROTHER LMFT, LPCC
Marriage & Family Therapist
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (424) 284-2440
MS. DORIS ANN LASSITER LMFT
Marriage & Family Therapist
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (925) 282-1778
DEBORAH KIMBERLY BRYK LPCC
Counselor (Professional)
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (925) 282-1778
KATHALEEN R REAGAN LPCC
Counselor (Professional)
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (925) 282-1778
DR. RAWAN GASEM ALSHAIKH MD
Psychiatry & Neurology (Psychiatry)
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (424) 284-2440
MEGAN GOTIANGCO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (925) 282-1778
DR. KELSEY ERNESTINE STEVENS M.D.
Psychiatry & Neurology (Psychiatry)
8950 VILLA LA JOLLA DR STE C230
LA JOLLA, CA 92037
San Diego County (925) 282-1778

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 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.

Where is Kathryn Weaver located?

Kathryn Weaver practices at 8950 Villa La Jolla Dr Ste C230, La Jolla, CA 92037. The listed phone number is (925) 282-1778.

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.

Is Kathryn Weaver enrolled in Medicare?

Yes. Kathryn 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.

Which organization bills Medicare for Kathryn Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Weaver reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 18 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.