Individual provider Active NPI

Mark John Lukasiak, D.C..

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1699936724
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
22058 Issued in CA
Practice address
11819 Wilshire Blvd Ste 211
Los Angeles, CA 90025-6631
Phone
(310) 478-1006
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 22058 CA Primary

Addresses

Primary practice location

11819 Wilshire Blvd Ste 211
Los Angeles, CA 90025-6631

Mailing address

11819 Wilshire Blvd Ste 211
Los Angeles, CA 90025-6631
Phone (310) 478-1006

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barry S Seibel MD Inc PastSince Nov 20, 2010 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1699936724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "310-478-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256631",
            "telephone_number": "310-478-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASIAK",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "credential": "D.C..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.