Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Weis

Individual provider Medical Physician Assistant · NPI 1023837556

Alexander Weis is a Physician Assistant in Crestline, California. Qualified in 2023, 3 years ago. Practices with Vvipa Medical Group Inc, a 29-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 4944
Crestline, CA 92325-4944
Phone: (951) 296-7604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65211 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA65211 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA65211 (CA)

Record details

NPI number1023837556
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing addressPo Box 4944, Crestline, CA 92325-4944

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vvipa Medical Group Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare