Gosta W. Iwasiuk, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A22839 Issued in CA

Practice address

5855 Olivas Park Dr
Ventura, CA 93003-7672

Phone

(805) 667-2801

Fax

(805) 667-2865

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• C S Rayhrer MD a Professional Corporation

  • Surgery Physician
  • Ventura, CA
  • NPI 1588835045
  Medicare reassignment NPD
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360
  NPD (past)
• Gosta W Iwasiuk M D Inc

  • Surgery Physician
  • Ventura, CA
  • NPI 1467623926
  NPD (past)
• Point Pleasant Physician Billing Services

  • Multi-Specialty Clinic/Center
  • PT Pleasant, WV
  • NPI 1396798898

  Surgery

  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1114023249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N ASHWOOD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031810",
            "telephone_number": "805-658-5800",
            "fax_number": "805-642-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801",
            "fax_number": "805-667-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWASIUK",
        "first_name": "GOSTA",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A22839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A22839",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A228391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ito Chiropractic Corporation
• Brian Takeshi Ito, D.C.
• Shelley L Ivy Hurguy, CRNA
• Lukasz Iwanczyk, M.D.
• Mari Iwasaki, MD
• Hekmat Izzat
• J Bruce Barbosa MD a Professional Corporation
• J. Fu MD Corp
• Jabaiti Dental Corporation
• Tariq Jabaiti, DDS

• Surgery Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.