MARIUSZ WITOLD WYSOCZANSKI (NPI# 1659535656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659535656 |
| Entity Type | Individual |
| Full Name | MARIUSZ WITOLD WYSOCZANSKI |
| Credential | M.D. |
| Practice Address |
754 Medical Center Ct Ste 204 Chula Vista CA 91911-6656 |
| Practice Telephone | 6196162100 |
| Practice Fax Number | 6196162104 |
| Mailing Telephone | 6196162100 |
| Mailing Fax Number | 6196162104 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2014-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C55986 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C55986 | CA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
C55986 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
754 MEDICAL CENTER CT STE 204 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528544863 | Heartcare & Wellness Center | Internal Medicine | 765 Medical Center Ct Ste 208, Chula Vista, CA 91911-6600 | 2018-07-18 |
| 1538670930 | Gustavo A Mondragon Md A Medical Corporation | Internal Medicine | 480 Fourth Ave Ste 500, Chula Vista, CA 91910-4414 | 2017-10-12 |
| 1407097447 | Vitali Aizin, M.d. Inc. | Internal Medicine | 450 4th Ave Ste 215, Chula Vista, CA 91910-4428 | 2009-03-22 |
| 1831393289 | Burhan Mohamedali | Internal Medicine | 765 Medical Center Ct Ste 211, Chula Vista, CA 91911-6600 | 2007-06-11 |
| 1457446684 | Brett Justin Berman | Internal Medicine | 321 E St, Suite A, Chula Vista, CA 91910-2667 | 2006-10-04 |
| 1912091067 | Joel Juarez-uribe | Internal Medicine | 750 Medical Center Ct Ste 14, Chula Vista, CA 91911-6634 | 2006-10-03 |
| 1053320556 | Daniel Cepin | Internal Medicine | 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914-4520 | 2006-08-05 |
| 1972506970 | Glenn Howard Perelson | Internal Medicine | 740 Bay Blvd, Chula Vista, CA 91910-5254 | 2005-05-23 |
| 1275843146 | Sharp Rees-stealy Medical Group Inc | Internal Medicine | 525 3rd Ave, Chula Vista, CA 91910-5616 | 2010-10-13 |
| 1477869956 | Daniel Cepin, M.d. | Internal Medicine | 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914-4520 | 2010-08-23 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.