Active NPI
Jacob Sidney Iwaszewski, M.S.
- Student in an Organized Health Care Education/Training Program
- Sierra Madre, CA
National Provider Identifier
1679777973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 665 W Sierra Madre Blvd Apt 2
Sierra Madre, CA 91024-2281 - Phone
- (626) 355-2468
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
665 W Sierra Madre Blvd Apt 2
Sierra Madre, CA 91024-2281
Mailing address
665 W Sierra Madre Blvd Apt 2
Sierra Madre, CA 91024-2281
Phone (626) 355-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679777973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 W SIERRA MADRE BLVD APT 2",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242281",
"telephone_number": "626-355-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 W SIERRA MADRE BLVD APT 2",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242281",
"telephone_number": "626-355-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWASZEWSKI",
"first_name": "JACOB",
"middle_name": "SIDNEY",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Madre, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.