Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205308962 Individual Practitioner Female Practitioner

Elena Virginia Weaver

Driver • Banning, CA

Professional Overview & Biography Verified Profile Summary

Elena Weaver is a registered healthcare professional specializing in Driver in Banning, CA. Practice services are available at 11555 1/2 POTRERO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11555 1/2 Potrero Rd

Banning, CA 922206946

Telephone 9518494761
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Banning, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Banning, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License CA D9467848

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Heather Mercer , PsyD, DRPH

Psychologist - Health Service

NPI 1003921826

Doctor of Psychology (Psy.D.), DRPH

Jasmin Hernandez , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1043039910

CADCI

NPI 1144349549

Doctor of Optometry

John Sheehan , CD CLINCAL SUPV

Counselor - Addiction (Substance Use Disorder)

NPI 1144350984

CDCLINCALSUPV

Julie Andrews , LCSW

Social Worker - Clinical

NPI 1285811810

Licensed Clinical Social Worker

Sandra Conley , RN

Registered Nurse

NPI 1386873297

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2018

Registered at 11555 1/2 POTRERO RD, BANNING, CA 922206946 (Tel: 9518494761)

📍
Updated Business Mailing Address December 19, 2018

Registered at 11555 1/2 POTRERO RD, BANNING, CA 922206946 (Tel: 9518494761)

👤
Provider Name / Credentials Updated December 19, 2018

Recorded as ELENA WEAVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Driver (License #D9467848 in CA)

🟢
Initial NPI Registration & Enumeration December 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205308962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2018
Last Update: December 19, 2018
Sole Proprietor: No

Mailing Address

11555 1/2 Potrero Rd

Banning, CA 922206946

Phone: 9518494761

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.