NPIMap

Organization Active NPI

Ronald J Belczyk, DPM Inc.

  • Foot & Ankle Surgery Podiatrist
  • Van Nuys, CA
National Provider Identifier
1033410675
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4906 Issued in CA
Legal business name
RONALD J BELCZYK, DPM INC.
Practice address
15107 Vanowen St
Van Nuys, CA 91405-4542
Phone
(818) 782-6600
Fax
(310) 538-0929
NPI assigned
Nov 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Dr. Ronald J Belczyk, D.P.M.NPI 1710186655
Title
President
Phone
(818) 782-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4906 CA Primary

Addresses

Primary practice location

15107 Vanowen St
Van Nuys, CA 91405-4542

Mailing address

19361 Crystal Ridge LN
Porter Ranch, CA 91326-3811
Phone (818) 782-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101201000113 CA Part B Supplier - Clinic/Group Practice 3274729306 Receives reassigned benefits from 5 practitioners
Practice locations: La Palma, CA; Northridge, CA; Oxnard, CA; Panorama City, CA; Sherman Oaks, CA; Van Nuys, CA; Victorville, CA

National Provider Directory

National Provider Directory
Tax ID family
Ronald J Belczyk DPM Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5471 La Palma Ave
La Palma, CA 90623
Phone (714) 752-6088

18433 Roscoe Blvd
Ste 105
Northridge, CA 91325
Phone (747) 263-9696

4911 Van Nuys Blvd
Fl 1
Sherman Oaks, CA 91403
Phone (747) 263-9696

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1033410675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19361 CRYSTAL RIDGE LN",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263811",
            "telephone_number": "818-782-6600",
            "fax_number": "310-538-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054542",
            "telephone_number": "818-782-6600",
            "fax_number": "310-538-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J BELCZYK, DPM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "BELCZYK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-782-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4906",
            "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 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.