Individual provider Active NPI

Janja Viltuznik, M.D.

  • Adult Medicine Physician
  • Orange, CA
National Provider Identifier
1639182702
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A42658 Issued in CA
Practice address
2617 E Chapman Ave
Ste 205
Orange, CA 92869-3226
Phone
(714) 538-6822
Fax
(714) 280-4826
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A42658 CA Primary

Addresses

Primary practice location

2617 E Chapman Ave
Ste 205
Orange, CA 92869-3226

Mailing address

2617 E Chapman Ave Ste 205
Orange, CA 92869-3248
Phone (714) 538-6822

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
I20101012000108 CA Practitioner - Family PracticePractitioner - General Practice 4981896719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Astra Medical GroupGroup PAC ID 6002854981, 2 clinicians

Practice addresses (Care Compare)

2617 E Chapman Ave
Suite 205
Orange, CA 92869-3248
Phone (714) 538-6822

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42658CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Medical Group CurrentSince Mar 1, 1994 Accepting new patients

Locations

2617 E Chapman Ave
Ste 205
Orange, CA 92869
Phone (714) 538-6822

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1639182702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693248",
            "telephone_number": "714-538-6822",
            "fax_number": "714-280-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE",
            "address_2": "STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693226",
            "telephone_number": "714-538-6822",
            "fax_number": "714-280-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILTUZNIK",
        "first_name": "JANJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A42658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.