Active NPI
Helmut Machowsky, M.D.
- Family Medicine Physician
- Fullerton, CA
National Provider Identifier
1841341781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C29210
- Practice address
- 2667 Camino del Sol
Fullerton, CA 92833-4808 - Phone
- (714) 879-0866
- Fax
- (714) 879-1375
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C29210 | CA | Primary |
Addresses
Primary practice location
2667 Camino del Sol
Fullerton, CA 92833-4808
Mailing address
2667 Camino del Sol
Fullerton, CA 92833-4808
Phone (714) 879-0866
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100804000148 | CA | Practitioner - Hospice/Palliative Care | 5799818233 | Practice locations: Fullerton, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C29210 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Medical Associates, Inc. | Family Medicine | 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.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1841341781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL SOL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334808",
"telephone_number": "714-879-0866",
"fax_number": "714-879-1375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 CAMINO DEL SOL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334808",
"telephone_number": "714-879-0866",
"fax_number": "714-879-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHOWSKY",
"first_name": "HELMUT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C29210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.