Active NPI
Agnieszka Dorota Czechowicz, MD, PHD
- Pediatrics Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A146625
- Practice address
- 300 Pasteur Dr RM H323
Stanford, CA 94305-2200 - Phone
- (650) 387-1102
- NPI assigned
- Sep 10, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A146625 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr RM H323
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr RM H323
Stanford, CA 94305-2200
Phone (650) 387-1102
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (650) 387-1102
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146625 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Pediatrics | Past | Accepting new patients |
Locations
725 Welch Rd
#D
Palo Alto, CA 94304
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Rm H323
Stanford, CA 94305
Phone (650) 387-1102
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 2
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": "1315612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1922380443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR RM H323",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-387-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR RM H323",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-387-1102"
}
],
"practiceLocations": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "650-387-1102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CZECHOWICZ",
"first_name": "AGNIESZKA",
"middle_name": "DOROTA",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-10",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A146625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.