Jeffrey Ward Spychalski, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G70781 Issued in CA

Practice address

16311 Ventura Blvd Ste 1150
Encino, CA 91436-4386

Phone

(818) 477-0787

Fax

(818) 477-0677

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADDEBD

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.

• Shahin S. Rad, M.D. PC

  • Orthopaedic Surgery Physician
  • Encino, CA
  • NPI 1801265673
  Medicare reassignment NPD
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Orthopaedic Specialties Associates

  • Specialist
  • Torrance, CA
  • NPI 1154518165
  NPD (past)
• Adventist Midwest Health

  • Psychiatric Hospital Unit
  • Hinsdale, IL
  • NPI 1447270780
  NPD (past)
• Silver Cross Hospital and Medical Centers

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Morris, IL
  • NPI 1356468409
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1760480479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10994 EXPOSITION BLVD STE 190",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643140",
            "telephone_number": "310-291-2813",
            "fax_number": "630-489-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 1150",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364386",
            "telephone_number": "818-477-0787",
            "fax_number": "818-477-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPYCHALSKI",
        "first_name": "JEFFREY",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G70781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Inc a Medical Corporation
• Spine Restoration a Medical Corporation
• Spirometric Inc
• Sports Rehab la
• Sprint Home Health Care, Inc.
• Srla Inc
• St. Joseph Medical Equipment Corporaton
• Martin Stachowski
• Judith Frankel Stahl, L.M.F.T.
• Janice Stallings

• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.