Individual provider Active NPI

Helmut Machowsky, M.D.

  • Family Medicine Physician
  • Fullerton, CA
National Provider Identifier
1841341781
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C29210 Issued in CA
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

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000148 CA Practitioner - Hospice/Palliative CarePractitioner - General PracticePractitioner - Geriatric MedicinePractitioner - Family Practice 5799818233 Practice locations: Fullerton, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C29210CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family Medicine PastSince Apr 1, 2007 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": "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

Verify at the official NPI Registry.