Active NPI
Lukasz Iwanczyk, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- A79334
- Practice address
- 5855 Olivas Park Dr
Hospitalist Department
Ventura, CA 93003-7672 - Phone
- (805) 667-2801
- Fax
- (805) 667-2865
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A79334 | CA | Primary |
Addresses
Primary practice location
5855 Olivas Park Dr
Hospitalist Department
Ventura, CA 93003-7672
Mailing address
147 N Brent St
Hospitalist Department
Ventura, CA 93003-2809
Phone (805) 652-5652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114953262 | Other | MEDICARE WA79334C |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York Medical College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5652
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
- Community Memorial Hospital - Ojai
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Current | Accepting new patients | |
| Pacific Inpatient Physicians | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients |
Locations
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
4020 Loma Vista Rd
Ventura, CA 93003
Phone (805) 642-4196
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
4904 Telegraph Rd
Ventura, CA 93003
Phone (805) 542-4101
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Ventura, CA
- NPI 1700270642
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1346288875
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1114953262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"address_2": "HOSPITALIST DEPARTMENT",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-652-5652",
"fax_number": "805-648-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 OLIVAS PARK DR",
"address_2": "HOSPITALIST DEPARTMENT",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037672",
"telephone_number": "805-667-2801",
"fax_number": "805-667-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWANCZYK",
"first_name": "LUKASZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A79334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA79334C",
"identifier": "1114953262",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.