Thomas A Bartczak, C.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO001000

Practice address

4013 Brockton Ave
Riverside, CA 92501-3440

Phone

(951) 781-4751

Fax

(951) 781-3011

NPI assigned

Aug 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1366673311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 PARKRIDGE AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603124",
            "telephone_number": "951-734-1835",
            "fax_number": "951-734-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013440",
            "telephone_number": "951-781-4751",
            "fax_number": "951-781-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTCZAK",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "CO001000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Barron
• Nathaly Barron
• Ulissa Barron
• Leahmontaine Shanava Barrow
• Audrey Ann Barry, RD, CNSD
• Cheryl Bartel
• Jadah Bartholomew
• Leslie Marysol Bartholomew, LMFT
• Micaiah Bartholomew
• Christina R Bartlett

• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.