NPIMap

Organization Active NPI

Kartzinel Wellness Center Inc.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Irvine, CA
National Provider Identifier
1275979973
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
G84196 Issued in CA
Legal business name
KARTZINEL WELLNESS CENTER INC.
Practice address
16263 Laguna Canyon Rd
Suite 150
Irvine, CA 92618-3609
Phone
(949) 398-7654
Fax
(949) 407-6788
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Jerrold Jay Kartzinel, MDNPI 1255478921
Title
Physician
Phone
(949) 398-7654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X G84196 CA Primary

Addresses

Primary practice location

16263 Laguna Canyon Rd
Suite 150
Irvine, CA 92618-3609

Mailing address

14 Redgate CT
Silver Spring, MD 20905-5726
Phone (301) 989-0548

Other identifiers 1

IdentifierTypeStateIssuer
G84196OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Kartzinel Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16263 Laguna Canyon Rd
Ste 150
Irvine, CA 92618
Phone (949) 398-7654

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1275979973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 REDGATE CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055726",
            "telephone_number": "301-989-0548",
            "fax_number": "301-989-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16263 LAGUNA CANYON RD",
            "address_2": "SUITE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183609",
            "telephone_number": "949-398-7654",
            "fax_number": "949-407-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARTZINEL WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "KARTZINEL",
        "authorized_official_first_name": "JERROLD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-398-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "CA",
            "license": "G84196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G84196",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.