Active NPI
Dale Pietrowski, P.A.
- Physician Assistant
- Van Nuys, CA
National Provider Identifier
1013920354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14003
- Practice address
- 16300 Roscoe Blvd
Van Nuys, CA 91406-1258 - Phone
- (818) 893-4426
- Fax
- (818) 894-7564
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14003 | CA | Primary |
Addresses
Primary practice location
16300 Roscoe Blvd
Van Nuys, CA 91406-1258
Mailing address
17248 Barneston CT
Granada Hills, CA 91344-2443
Phone (818) 893-4426
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14003 | CA | MD | Occupational Therapist |
| PA14003 | CA | MD | Physician Assistant |
Interoperability endpoints
- dale.pietrowski@3856.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013920354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17248 BARNESTON CT",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913442443",
"telephone_number": "818-893-4426",
"fax_number": "818-894-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16300 ROSCOE BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061258",
"telephone_number": "818-893-4426",
"fax_number": "818-894-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETROWSKI",
"first_name": "DALE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.