Individual provider Active NPI

Pawel Patryk Jankowski, M.D.

  • Neurological Surgery Physician
  • Irvine, CA
National Provider Identifier
1093015091
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A114292 Issued in CA
Practice address
16405 Sand Canyon Ave Ste 200
Irvine, CA 92618-3786
Phone
(949) 383-4190
NPI assigned
Oct 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A114292 CA Primary

Addresses

Primary practice location

16405 Sand Canyon Ave Ste 200
Irvine, CA 92618-3786

Mailing address

16405 Sand Canyon Ave Ste 200
Irvine, CA 92618-3786
Phone (949) 383-4190

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181222000060 CA Practitioner - Neurosurgery 0345585196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Washington School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16300 Sand Canyon Ave
Suite 614
Irvine, CA 92618-3706
Phone (949) 887-3697

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion366
Laminectomy or laminotomy (partial removal of spine bones)116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Sep 11, 2024 Accepting new patients
Pawel P. Jankowski, M.D., a Medical Corporation Neurological Surgery CurrentSince Sep 1, 2018 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Sep 11, 2024 Accepting new patients

Locations

16405 Sand Canyon Ave
Ste 200
Irvine, CA 92618
Phone (949) 383-4190

16305 Sand Canyon Ave
Ste 220
Irvine, CA 92618
Phone (909) 558-2840

16300 Sand Canyon Ave
Ste 614
Irvine, CA 92618
Phone (949) 344-3468

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pjankowski631017@direct.memorialcare.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1093015091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183786",
            "telephone_number": "949-383-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 SAND CANYON AVE STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183786",
            "telephone_number": "949-383-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKI",
        "first_name": "PAWEL",
        "middle_name": "PATRYK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A114292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.