Active NPI
James Kulczycki, M.D.
- Cardiovascular Disease Physician
- Glendale, CA
National Provider Identifier
1891730636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G37009
- Practice address
- 1560 E Chevy Chase Dr
410
Glendale, CA 91206-4197 - Phone
- (818) 247-8331
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G37009 | CA | Primary |
Addresses
Primary practice location
1560 E Chevy Chase Dr
410
Glendale, CA 91206-4197
Mailing address
1560 E Chevy Chase Dr
Suite 410
Glendale, CA 91206-4197
Phone (818) 247-8331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0014120 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37009 | CA | MD | Pharmacist |
| G37009 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1104981661
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1891730636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E CHEVY CHASE DR",
"address_2": "SUITE 410",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064197",
"telephone_number": "818-247-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1560 E CHEVY CHASE DR",
"address_2": "410",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064197",
"telephone_number": "818-247-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULCZYCKI",
"first_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G37009",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0014120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.