Active NPI
Jerzy Wierzbicki
- Dentist
- Huntington Park, CA
National Provider Identifier
1073059168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35358
- Practice address
- 6040 Pacific Blvd
Huntington Park, CA 90255-2931 - Phone
- (323) 583-5677
- NPI assigned
- Jan 12, 2017
- Last updated
- Jan 12, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 35358 | CA | Primary |
Addresses
Primary practice location
6040 Pacific Blvd
Huntington Park, CA 90255-2931
Mailing address
2117 Glenhollow St
Westlake Village, CA 91361-2023
Phone (213) 519-1548
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35358 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adel M Fransis DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Huntington Park, CA
- NPI 1619131307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1073059168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 GLENHOLLOW ST",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612023",
"telephone_number": "213-519-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 PACIFIC BLVD",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552931",
"telephone_number": "323-583-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERZBICKI",
"first_name": "JERZY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "35358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.