Individual provider Active NPI

Peter James Mazolewski, M.D.

  • Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1710076773
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A84094 Issued in CA
Practice address
365 Lennon LN Ste 290
Walnut Creek, CA 94598-5915
Phone
(925) 658-5076
Fax
(925) 658-5089
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A84094 CA
Surgery Physician 208600000X A84094 CA Primary

Addresses

Primary practice location

365 Lennon LN Ste 290
Walnut Creek, CA 94598-5915

Mailing address

365 Lennon LN Ste 290
Walnut Creek, CA 94598-5915

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
I20071013000072 CA Practitioner - General Surgery 1951300425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue22
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service CurrentSince Nov 19, 2009 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group CurrentSince May 1, 2018 Accepting new patients
Bass Medical Group CurrentSince May 1, 2018 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group Specialist Past Accepting new patients
Dignity Health Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients
Next Advanced Medicine, Inc. PastSince Jan 23, 2011 Accepting new patients
Greathouse Chiropractic Inc Past Accepting new patients
Mazolewski Oc Medical PC Past Accepting new patients
Saddleback Valley Surgical-Medical Group Surgery Past Accepting new patients
Dignity Health Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

365 Lennon Ln
Ste 290
Walnut Creek, CA 94598
Phone (925) 274-9000

1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 947-3393

130 La Casa Via
Ste 211
Walnut Creek, CA 94598
Phone (925) 471-7100

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pmazolewski18003@ehr.johnmuirhealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1710076773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985915",
            "telephone_number": "925-658-5076",
            "fax_number": "925-658-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOLEWSKI",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A84094",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A84094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.