Individual provider Active NPI

Joseph Czvik, MD

  • Internal Medicine Physician
  • San Marcos, CA
National Provider Identifier
1528084340
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G73296 Issued in CA
Practice address
1635 Lake San Marcos Dr
Ste 202
San Marcos, CA 92078-4661
Phone
(760) 471-1020
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G73296 CA Primary

Addresses

Primary practice location

1635 Lake San Marcos Dr
Ste 202
San Marcos, CA 92078-4661

Mailing address

1635 Lake San Marcos Dr
Ste 202
San Marcos, CA 92078-4661
Phone (760) 471-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000907 CA Practitioner - Internal Medicine 7113087362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1635 Lake San Marcos Dr
Suite 202
San Marcos, CA 92078-4679
Phone (760) 471-1020

Hospital & facility affiliations

  • Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
  • Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G73296CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph F Czvik MD Inc Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

1635 Lake San Marcos Dr
Ste 202
San Marcos, CA 92078
Phone (760) 471-1020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIEEBA/Endpoint/GIEEBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1528084340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 LAKE SAN MARCOS DR",
            "address_2": "STE 202",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784661",
            "telephone_number": "760-471-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 LAKE SAN MARCOS DR",
            "address_2": "STE 202",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784661",
            "telephone_number": "760-471-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZVIK",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.