Organization Active NPI

Jan F Babiszewski MD Inc

  • Urology Physician
  • Yuba City, CA
National Provider Identifier
1194714055
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C41648 Issued in CA
Legal business name
JAN F BABISZEWSKI MD INC
Practice address
874 Plumas St
Ste B
Yuba City, CA 95991-4023
Phone
(530) 671-4852
Fax
(530) 671-5752
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. Jan Felix Babiszewski, MD
Title
Corp President
Phone
(530) 671-4852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X C41648 CA Primary

Addresses

Primary practice location

874 Plumas St
Ste B
Yuba City, CA 95991-4023

Mailing address

874 Plumas St
Ste B
Yuba City, CA 95991-4023
Phone (530) 671-4852

Other identifiers 1

IdentifierTypeStateIssuer
00C416480MedicaidCA

Other names 1

  • Jan F Babiszewski MD Former legal business name

National Provider Directory

National Provider Directory

Locations

874 Plumas St
Ste B
Yuba City, CA 95991
Phone (530) 671-4852

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1194714055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 PLUMAS ST",
            "address_2": "STE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914023",
            "telephone_number": "530-671-4852",
            "fax_number": "530-671-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 PLUMAS ST",
            "address_2": "STE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914023",
            "telephone_number": "530-671-4852",
            "fax_number": "530-671-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN F BABISZEWSKI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BABISZEWSKI",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "CORP PRESIDENT",
        "authorized_official_telephone_number": "530-671-4852",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "C41648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C416480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jan F Babiszewski MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.