Individual provider Active NPI

Marie Angeline Szczurak, D.C.

  • Chiropractor
  • Valley Village, CA
National Provider Identifier
1013174002
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 22870 Issued in CA
Practice address
5301 Laurel Canyon Blvd
#120
Valley Village, CA 91607-2736
Phone
(310) 854-4266
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 22870 CA Primary

Addresses

Primary practice location

5301 Laurel Canyon Blvd
#120
Valley Village, CA 91607-2736

Mailing address

5301 Laurel Canyon Blvd
#120
Valley Village, CA 91607-2736
Phone (310) 854-4266

Other identifiers 1

IdentifierTypeStateIssuer
DC22870OtherCABOARD OF CHIROPRACTIC EXAMINERS

Other names 1

  • Dr. Marie Angeline Szczurak Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC 22870CAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1013174002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD",
            "address_2": "#120",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "310-854-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LAUREL CANYON BLVD",
            "address_2": "#120",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072736",
            "telephone_number": "310-854-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZURAK",
        "first_name": "MARIE",
        "middle_name": "ANGELINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 22870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CHIROPRACTIC EXAMINERS",
            "identifier": "DC22870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SZCZURAK",
            "middle_name": "ANGELINE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.