Allan Isaac Nutkiewicz, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A32050 Issued in CA

Practice address

17915 Ventura Blvd Ste 220
Encino, CA 91316-4810

Phone

(818) 938-9175

Fax

(818) 938-9173

NPI assigned

Jun 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Valley Hills Home Health Care, Inc

  • Home Health Agency
  • Encino, CA
  • NPI 1659790939
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1922268408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164810",
            "telephone_number": "818-938-9175",
            "fax_number": "818-938-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17915 VENTURA BLVD STE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164810",
            "telephone_number": "818-938-9175",
            "fax_number": "818-938-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTKIEWICZ",
        "first_name": "ALLAN",
        "middle_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A32050",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "A32050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NS Home Health Care Services, Inc.
• Dessire Nunez
• Leslie Nunez
• Noel Nunez, AGACNP-BC
• Judith Ann Nussbaum, LMFT
• Jennifer O'Brien
• Gail O'Connell
• Sharon Michele O'Connor, PH.D.
• Richard O'Dell, M.D.
• Kari O'Donnell, MSN, RN, FNP-C

• Neurological Surgery Physician in Encino, CA
• Providers in Encino, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.