Active NPI
Rachel M Krzeczowski, DO
- Surgery Physician
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22901
- Practice address
- 222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648 - Phone
- (877) 878-3289
- NPI assigned
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | BP10078492 | TX | |
| Surgery Physician | 208600000X | 22901 | CA | Primary |
Addresses
Primary practice location
222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648
Mailing address
222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648
Phone (877) 878-3289
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2580 Samaritan Dr
San Jose, CA 95124-4101
Phone (408) 356-8181
2900 Stoneridge Dr
Pleasanton, CA 94588-8310
Phone (925) 201-4050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 358 |
| Removal of skin lesions | 38 |
| Removal of nail tissue | 56 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10078492 | TX | MD | Surgery Physician |
| 22901 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Multi-Specialty | Current | Accepting new patients |
Locations
1401 New Stine Rd
Bakersfield, CA 93309
Phone (661) 368-5926
1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841
222 N Pacific Coast Hwy
Ste 800
El Segundo, CA 90245
222 N Pacific Coast Hwy
Ste 20
El Segundo, CA 90245
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010
2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000
5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696
751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800
150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103
2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135
2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000
2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631
900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956
2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002
2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950
1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596
501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511
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": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1942941315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N PACIFIC COAST HWY STE 1420",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455648",
"telephone_number": "877-878-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N PACIFIC COAST HWY STE 1420",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455648",
"telephone_number": "877-878-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZECZOWSKI",
"first_name": "RACHEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10078492",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "22901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.