Provider Demographics
NPI:1023057833
Name:WEEKES, ARNOLD A (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:A
Last Name:WEEKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:925-756-3400
Mailing Address - Fax:925-756-3410
Practice Address - Street 1:4053 LONE TREE WAY STE 201
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6210
Practice Address - Country:US
Practice Address - Phone:925-756-3400
Practice Address - Fax:925-756-3410
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA775521207L00000X
CAA88042207L00000X
MDD0065358207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA88042OtherSTATE MEDICAL LICENSE
CARHC00166977OtherFLOUROSCOPY CERTIFCATION
CA1023057833Medicaid