Peter Adamczyk, MD, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A98461 Issued in CA

Legal business name

PETER ADAMCZYK, MD, INC.

Practice address

20055 Lake Chabot Rd
Suite 300
Castro Valley, CA 94546-5331

Phone

(510) 538-7738

Fax

(510) 538-7777

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Peter R. Adamczyk, M.D.NPI 1689710915

Title

President

Phone

(510) 538-7738

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Peter Adamczyk, M.D.

  • Neurology Physician
  • Castro Valley, CA
  • NPI 1689710915
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1427481522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD",
            "address_2": "SUITE 300",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465331",
            "telephone_number": "510-538-7738",
            "fax_number": "510-738-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD",
            "address_2": "SUITE 300",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465331",
            "telephone_number": "510-538-7738",
            "fax_number": "510-538-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER ADAMCZYK, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "ADAMCZYK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-538-7738",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A98461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pebble Beach Holdings LLC (Canyon Creek Post- Acute)
• Marcia C Peck, MD
• Paul Hung-Li Peng, O.D.
• Jarrett Antonio Percivalle
• Luciana Soares Pereira
• Elizabeth Anne Peters, LVN - IV CERTIFIED
• Kate Pfeiffer
• Wendy Pham, LCSW, PPS
• Christina Phan, PA
• Danh Phan

• Neurology Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.