Organization Active NPI

Russell J. Wojcik, D.P.M., Inc

  • Podiatrist
  • Huntington Park, CA
National Provider Identifier
1487869194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1920 Issued in CA
Legal business name
RUSSELL J. WOJCIK, D.P.M., INC
Practice address
2677 Zoe Ave Ste 114
Huntington Park, CA 90255-7209
Phone
(213) 385-1266
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Russell J Wojcik, D.P.M.
Title
President
Phone
(213) 385-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E1920 CA Primary

Addresses

Primary practice location

2677 Zoe Ave Ste 114
Huntington Park, CA 90255-7209

Mailing address

12807 Elkwood St
North Hollywood, CA 91605-2035
Phone (213) 385-1266

Other identifiers 1

IdentifierTypeStateIssuer
000E19200MedicaidCA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2677 Zoe Ave
Ste 114
Huntington Park, CA 90255
Phone (323) 583-3200

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487869194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 ELKWOOD ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916052035",
            "telephone_number": "213-385-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 ZOE AVE STE 114",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902557209",
            "telephone_number": "213-385-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J. WOJCIK, D.P.M., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOJCIK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-385-1266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E19200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.