Physician Compare National (NPI:1982640496)

HEALTHCARE PROVIDER: SANFORD JAY WEITZBUCH DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982640496
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749342020
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081219000513
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEITZBUCH
	Individual professional last name
Provider First Name	SANFORD
	Individual professional first name
Provider Middle Name	JAY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	16311 VENTURA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 650
	Group Practice or individual's line 2 address
City	ENCINO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	914364320
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8189075433
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y