John James Kowalczyk, DO

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

20A6818 Issued in CA

Practice address

1127 Wilshire Blvd
Suite 805
Los Angeles, CA 90017-3901

Phone

(213) 977-1176

Fax

(213) 977-0668

NPI assigned

Sep 9, 2005

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

Urology

Education

Chicago College of Osteopathy, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Signature Medical Clinics IncGroup PAC ID 1759493216, 8 clinicians

Superclinic Professionals Medical Corp a California CorporationGroup PAC ID 6507120656, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Signature Medical Clinics Inc

  dba Urology Group of Southern California

  • Urology Physician
  • Los Angeles, CA
  • NPI 1942436548
  Medicare reassignment Care Compare group NPD Authorized official
• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment Care Compare group NPD
• Adherence Medical Group a Professional Medical Corporation

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1437799962
  Medicare reassignment NPD
• El Monte Clinica Medica General Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • El Monte, CA
  • NPI 1093762593
  Medicare reassignment NPD
• Nobility Health, Inc.

  • Clinical Medical Laboratory
  • Glendale, CA
  • NPI 1659969376
  Medicare reassignment NPD
• Pacific Oaks Medical Group & Subsidiary

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1225127566
  Medicare reassignment NPD
• Community Hospital Association, Inc.

  dba Wickenburg Community Hospital

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Medicare reassignment NPD
• Los Angeles Clinica Medica General Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265489751
  Medicare reassignment
• Pacific Oaks Medical Group & Subsidiary

  dba Consolidated Laboratory Services

  • Clinical Medical Laboratory
  • Beverly Hills, CA
  • NPI 1356700678
  NPD
• Aligned Healing Solution, Inc.

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1588267595
  NPD (past)
• Synergy Hematology Oncology Medical Associates Inc

  dba N/a

  • Specialist
  • West Hollywood, CA
  • NPI 1164455960
  NPD (past)
• Synergy Hematology Oncology Medical Associates, Inc.

  dba N/a

  • Specialist
  • Encino, CA
  • NPI 1477720613
  NPD (past)

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

• Dignity Community Care

  dba Glendale Memorial Hospital and Health Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1780183335
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1982351565
  Care Compare affiliation
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1548254089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173909",
            "telephone_number": "213-977-1176",
            "fax_number": "213-977-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD",
            "address_2": "SUITE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173901",
            "telephone_number": "213-977-1176",
            "fax_number": "213-977-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 W Magnolia Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915061770",
            "country_code": "US",
            "telephone_number": "213-977-1176",
            "fax_number": "213-977-0668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8223 Woodman Ave",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914025426",
            "country_code": "US",
            "telephone_number": "818-979-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 S Central Ave Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042786",
            "country_code": "US",
            "telephone_number": "213-977-1176",
            "fax_number": "213-977-0668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1517 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900225421",
            "country_code": "US",
            "telephone_number": "818-979-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 W Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900473033",
            "country_code": "US",
            "telephone_number": "818-979-9899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Arden Ave Ste 530",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031140",
            "country_code": "US",
            "telephone_number": "818-979-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALCZYK",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "20A6818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "340018768",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX68180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Tapper Kovich
• Anel Kovitz
• Sean Y Kow, MD
• Yasuko Kowalchuk, MSW, LCSW
• Devin E Kowalczyk, PHD, LP
• Richard Casey Kowalski, PHARMD
• Koyama Chiropractic Corp (koyama chiropractic and acupuncture clinic)
• Koyama Chiropractic Corp (Koyama chiropractic and acupuncture clinic)
• Hironari Koyama, D.C.
• Nicolina Kozak

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.