NPIMap

Organization Active NPI

John R. Rostkowski, M.D. P.C.

  • Psychoanalyst
  • Walnut Creek, CA
National Provider Identifier
1376811596
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
G24111 Issued in CA
Legal business name
JOHN R. ROSTKOWSKI, M.D. P.C.
Practice address
130 La Casa Via Ste 213
Walnut Creek, CA 94598-3078
Phone
(925) 938-1991
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. John R. Rostkowski, M.D.NPI 1861424665
Title
President
Phone
(925) 938-1991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X G24111 CA Primary

Addresses

Primary practice location

130 La Casa Via Ste 213
Walnut Creek, CA 94598-3078

Mailing address

130 La Casa Via Ste 213
Walnut Creek, CA 94598-3078
Phone (925) 938-1991

National Provider Directory

National Provider Directory

Locations

130 La Casa Via
Ste 213
Walnut Creek, CA 94598
Phone (925) 938-1991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1376811596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 213",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983078",
            "telephone_number": "925-938-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 213",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983078",
            "telephone_number": "925-938-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. ROSTKOWSKI, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "ROSTKOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-938-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "G24111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.