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Dr. Jack Oscar Piasecki

Sports Medicine Doctor

17400 Irvine Blvd Suite L
Tustin , California 92780-3030

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Dr. Jack Oscar Piasecki

Sports Medicine Doctor

17400 Irvine Blvd Suite L
Tustin , California 92780-3030

(714) 508-3653

Write a Review Save Call

Dr. Jack Oscar Piasecki

Sports Medicine Doctor

17400 Irvine Blvd Suite L
Tustin , California 92780-3030

(714) 508-3653 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine Doctor

Languages spoken

  • English

Location

17400 Irvine Blvd Suite L Tustin , California 92780-3030

First Address

  • Dr. Jack Oscar Piasecki
  • 17400 Irvine Blvd Suite L
  • Tustin, CA
  • Zip : 92780-3030
  • Fax : (714) 508-3653
  • Phone : (714) 508-1112

Second Address

  • Dr. Jack Oscar Piasecki
  • 17400 Irvine Blvd Suite L
  • Tustin, CA
  • Zip : 92780-3030
  • Fax : (714) 508-3653
  • Phone : (714) 508-1112

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FAQs


Where did Dr. Jack Oscar Piasecki attend graduate school?

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Where did Dr. Jack Oscar Piasecki do his residency?

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Where did Dr. Jack Oscar Piasecki do his fellowship?

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Is Dr. Jack Oscar Piasecki board certified?

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What type of doctor is Dr. Jack Oscar Piasecki

Sports Medicine Doctor

In what state does Dr. Jack Oscar Piasecki practice in?

California

Where is Dr. Jack Oscar Piasecki ’s practice located?

17400 Irvine Blvd Suite L , Tustin, California, 92780-3030

What is Dr. Jack Oscar Piasecki ’s gender?

Male

Is Dr. Jack Oscar Piasecki a sole practitioner?

No

Is Dr. Jack Oscar Piasecki accepting new patients?

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What languages does Dr. Jack Oscar Piasecki speak?

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Does Dr. Jack Oscar Piasecki accept insurance?

Yes, Dr. Jack Oscar Piasecki accepts insurance

Does Dr. Jack Oscar Piasecki offers telemedicine?

Dr. Jack Oscar Piasecki has not indicated if he offers telemedicine

What is Dr. Jack Oscar Piasecki ’s professional license number?

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What is Dr. Jack Oscar Piasecki ’s NPI number?

1659416741

Does Dr. Jack Oscar Piasecki have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 204C00000X Sports Medicine Doctor G53516 CA

National Provider Identifier

NPI 1659416741
Provider Name Dr. Jack Oscar Piasecki
First Address Tustin, CA 92780-3030
Second Address Tustin, CA 92780-3030
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 20/02/2007
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
D47810 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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