John W Witczak, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20A4682 Issued in CA

Practice address

26921 Crown Valley Pkwy
Ste 201
Mission Viejo, CA 92691-6501

Phone

(949) 348-2250

Fax

(949) 348-8904

NPI assigned

Jul 14, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Asante Community Services LLC

  • Home Infusion Agency
  • Medford, OR
  • NPI 1497821052
  NPD (past)
• Asante Physician Partners

  • Family Medicine Physician
  • Medford, OR
  • NPI 1922381326

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811913825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY",
            "address_2": "STE 201",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-348-2250",
            "fax_number": "949-348-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26921 CROWN VALLEY PKWY",
            "address_2": "STE 201",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916501",
            "telephone_number": "949-348-2250",
            "fax_number": "949-348-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCZAK",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph W Wilson, D.D.S.
• Genevieve Wimber, LM, CPM
• Randall Dean Winchell, DC
• Robert Henry Winokur, M.D.
• Quintin C Wise
• Theodore C. Witt, DDS
• Mark Andrew Wohlgemuth, MD
• Bradley Wolf, PSYD, LP
• Donna Hwang Wong, OD
• Laura L Wong, PHARMD

• Orthopaedic Surgery Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.