Individual provider Active NPI

Alan Marc Strizak, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Mission Viejo, CA
National Provider Identifier
1750488755
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G39101 Issued in CA
Practice address
26151 Marguerite Pkwy
Mission Viejo, CA 92692-5277
Phone
(949) 582-5934
Fax
(949) 495-3715
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G39101 CA Primary

Addresses

Primary practice location

26151 Marguerite Pkwy
Mission Viejo, CA 92692-5277

Mailing address

5256 S Mission Rd Ste 703
Bonsall, CA 92003-3622
Phone (949) 582-5934

Other identifiers 1

IdentifierTypeStateIssuer
000G391010OtherCABLUE SHIELD

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
I20050324001187 CA Practitioner - Orthopedic Surgery 8224084983 Practice locations: Mission Viejo, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26151 Marguerite Pkwy
Mission Viejo, CA 92692-5277
Phone (949) 582-5934

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G39101CAMDSports Medicine (Orthopaedic Surgery) Physician
39101CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chapman Medical Center Inc Past 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1750488755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 S MISSION RD STE 703",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033622",
            "telephone_number": "949-582-5934",
            "fax_number": "949-582-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26151 MARGUERITE PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925277",
            "telephone_number": "949-582-5934",
            "fax_number": "949-495-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIZAK",
        "first_name": "ALAN",
        "middle_name": "MARC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G39101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000G391010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.