Del-Carmen Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A30858 Issued in CA

Legal business name

DEL-CARMEN MEDICAL GROUP

Practice address

19234 Vanowen St
Reseda, CA 91335-5000

Phone

(310) 914-9150

Fax

(310) 914-9750

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Pietruszka, M.D.

Title

Medical Doctor

Phone

(310) 914-9150

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1386757086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19234 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355000",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19234 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355000",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL-CARMEN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "PIETRUSZKA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "310-914-9150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A308580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Debourg II, DDS
• Madeleine Dechannes
• Shawn Deffenbaugh
• Nshan D Dekeyan, DPM
• Grisel Del Cueto, D.D.S
• Maria Therese Dela Merced, NP
• Miguel Delgado
• Shahin Delkhah, M.D.
• Deluxe Treatment Center Inc.
• Deluxe Treatment Center Inc.

• Internal Medicine Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.