Organization Active NPI

Claudio V. Zawitkowski M.D., Inc

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1063608289
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49794 Issued in CA
Legal business name
CLAUDIO V. ZAWITKOWSKI M.D., INC
Practice address
4535 30TH St Ste 103
San Diego, CA 92116-4245
Phone
(619) 260-1958
NPI assigned
Sep 20, 2007
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Claudio V Zawitkowski, M.D.NPI 1578558623
Title
President
Phone
(619) 260-1958

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
Internal Medicine Physician 207R00000X A49794 CA Primary

Addresses

Primary practice location

4535 30TH St Ste 103
San Diego, CA 92116-4245

Mailing address

13023 Olmeda CT
San Diego, CA 92128-1117
Phone (619) 260-1958

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000560 CA Part B Supplier - Clinic/Group Practice 9436228921 Receives reassigned benefits from 3 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

4535 30th St
Ste 103
San Diego, CA 92116
Phone (619) 260-1958

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1063608289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 OLMEDA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281117",
            "telephone_number": "619-260-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 30TH ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164245",
            "telephone_number": "619-260-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIO V. ZAWITKOWSKI M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "ZAWITKOWSKI",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-260-1958",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.