Active NPI
Peter C. Czuleger, M.D.
- Emergency Medicine Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A34446
- Practice address
- 26800 Crown Valley Pkwy
Suite 150
Mission Viejo, CA 92691-6365 - Phone
- (949) 276-2111
- Fax
- (949) 276-2115
- NPI assigned
- May 23, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A34446 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy
Suite 150
Mission Viejo, CA 92691-6365
Mailing address
26800 Crown Valley Pkwy
Suite 150
Mission Viejo, CA 92691-6365
Phone (949) 276-2111
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050618CA27480 | Other | CA | BEAR VALLEY TRAILBLAZER |
| 00A344460 | Other | CA | BLUE SHIELD |
| 00A344460 | Other | CA | CALOPTIMA |
| A34446 | Other | CA | BLUE CROSS |
| 00A344460 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pczuleger1373938@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Tulane University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384
395 W Avenida Vista Hermosa
San Clemente, CA 92672-7720
Phone (949) 304-2117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34446 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
26800 Crown Valley Pkwy
Ste 150
Mission Viejo, CA 92691
Phone (949) 276-2111
Interoperability endpoints
- pczuleger1373938@oc.providencedirect.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1043265580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "SUITE 150",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916365",
"telephone_number": "949-276-2111",
"fax_number": "949-276-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"address_2": "SUITE 150",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916365",
"telephone_number": "949-276-2111",
"fax_number": "949-276-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZULEGER",
"first_name": "PETER",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A34446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEAR VALLEY TRAILBLAZER",
"identifier": "050618CA27480",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A344460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00A344460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A34446",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A344460",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pczuleger1373938@oc.providencedirect.org",
"affiliation": "N",
"address_1": "26800 Crown Valley Pkwy",
"address_2": "Suite 150",
"city": "Mission Viejo",
"state": "CA",
"country_code": "US",
"postal_code": "926916365",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.