Organization Active NPI

Gosta W Iwasiuk M D Inc

  • Surgery Physician
  • Ventura, CA
National Provider Identifier
1467623926
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A22839 Issued in CA
Legal business name
GOSTA W IWASIUK M D INC
Practice address
2605 Loma Vista Rd
Ventura, CA 93003-1548
Phone
(805) 648-2227
Fax
(805) 648-6706
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Cindy Borrego
Title
Office Manager
Phone
(805) 648-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A22839 CA Primary

Addresses

Primary practice location

2605 Loma Vista Rd
Ventura, CA 93003-1548

Mailing address

2605 Loma Vista Rd
Ventura, CA 93003-1548
Phone (805) 648-2227

National Provider Directory

National Provider Directory

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1467623926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031548",
            "telephone_number": "805-648-2227",
            "fax_number": "805-648-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031548",
            "telephone_number": "805-648-2227",
            "fax_number": "805-648-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSTA W IWASIUK M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-648-2227"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A22839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.