Individual provider Active NPI

Malgorzata V Stanczyk, M.D.

  • Surgery Physician
  • Long Beach, CA
National Provider Identifier
1104029859
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A101481 Issued in CA
Practice address
432 E 10TH St
Long Beach, CA 90813-4424
Phone
(562) 491-7935
Fax
(562) 432-7930
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A101481 CA Primary

Addresses

Primary practice location

432 E 10TH St
Long Beach, CA 90813-4424

Mailing address

1536 W 25TH St
#208
San Pedro, CA 90732-4415
Phone (310) 756-4386

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
I20081206000023 CA Practitioner - General Surgery 7113088337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9012

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101481CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malgorzata Stanczyk MD Inc Surgery CurrentSince Mar 19, 2011 Accepting new patients
Tri-City Hospital Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Amy Yetasook MD Incorporated Surgery PastSince Feb 12, 2023 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

21520 Pioneer Blvd
Ste 204
Hawaiian Gdns, CA 90716
Phone (562) 402-9779

21530 Pioneer Blvd
Hawaiian Gdns, CA 90716
Phone (562) 860-0401

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

432 E 10th St
Long Beach, CA 90813
Phone (562) 491-7935

1536 W 25th St
#208
San Pedro, CA 90732

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1104029859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 W 25TH ST",
            "address_2": "#208",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324415",
            "telephone_number": "310-756-4386",
            "fax_number": "310-326-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E 10TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134424",
            "telephone_number": "562-491-7935",
            "fax_number": "562-432-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCZYK",
        "first_name": "MALGORZATA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A101481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.