Individual provider Active NPI

Slawomir Wojtowicz-Praga, M.D.

  • Medical Oncology Physician
  • South San Francisco, CA
National Provider Identifier
1720262330
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
C 53872 Issued in CA
Practice address
1 Dna Way
Genentech, Mailstop 444a
South San Francisco, CA 94080-4918
Phone
(650) 467-9092
NPI assigned
Dec 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA06515300 NJ
Medical Oncology Physician 207RX0202X C 53872 CA Primary

Addresses

Primary practice location

1 Dna Way
Genentech, Mailstop 444a
South San Francisco, CA 94080-4918

Mailing address

1 Dna Way
Genentech, Mailstop 444a
South San Francisco, CA 94080-4918
Phone (650) 467-9092

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06515300NJMDHematology & Oncology Physician
C 53872CAMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1720262330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DNA WAY",
            "address_2": "GENENTECH, MAILSTOP 444A",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804918",
            "telephone_number": "650-467-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DNA WAY",
            "address_2": "GENENTECH, MAILSTOP 444A",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804918",
            "telephone_number": "650-467-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTOWICZ-PRAGA",
        "first_name": "SLAWOMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA06515300",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "C 53872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.