Individual provider Active NPI

James Casimir Pietraszek, M.D.

  • Specialist
  • San Diego, CA
National Provider Identifier
1528279106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G39087 Issued in CA
Practice address
8929 University Center LN
102
San Diego, CA 92122-1006
Phone
(858) 450-3377
Fax
(858) 450-3398
NPI assigned
May 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G39087 CA Primary

Addresses

Primary practice location

8929 University Center LN
102
San Diego, CA 92122-1006

Mailing address

8929 University Center LN
102
San Diego, CA 92122-1006
Phone (858) 450-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G39087CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jpietraszek61500@scrippshlth.medalliesdirect.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528279106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-450-3377",
            "fax_number": "858-450-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 UNIVERSITY CENTER LN",
            "address_2": "102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221006",
            "telephone_number": "858-450-3377",
            "fax_number": "858-450-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRASZEK",
        "first_name": "JAMES",
        "middle_name": "CASIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.