Radoslaw Bialczak, M.D., PH.D.
Individual provider Active NPI Emergency Medicine Physician · Los Angeles, CA
NPI 1548615909 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1548615909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 144105 (CA)
- Practice address
- 1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029 - Phone
- (323) 409-1000
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of California, San Diego School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
Hospital & facility affiliations
- Kaiser Foundation Hospital - South Bay
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180629002448 | CA | Practitioner - Emergency Medicine | 7315202744 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144105 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Pinnacle Emergency Physicians of Bakersfield, a Professional Corp | Emergency Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Pinnacle Emergency Physicians of Bakersfield, a Professional Corp | Emergency Medicine | Current |
Accepting new patients |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 144105 | CA | Yes |
Addresses
Primary practice location
1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Mailing address
1200 N State St
Clinic Tower, Suite A7D
Los Angeles, CA 90033-1029
Other names
- Radek Bialczak
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Los Angeles, CA
- Daniel Bi
- Danse Bi
- Pinky Jane Bartolome Biag
- Julie Biaggi
- Crystal Biagi
- Lindsay Bialosky
- Shelly Xiaolu Bian
- Gustavo Miguel Bianchi
- Honey Bianchi
- John Ray Bianchi III
All providers in Los Angeles, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.