Look up the most recent NPI and PECOS records

Joseph Horejsi

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Joseph Horejsi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1295726347
Provider Type
Individual
Full Name
Horejsi, Joseph
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/28/2005
Last Updated
3/31/2011

Contact Information

Practice Location

722 Baker St, Costa Mesa, CA 92626-4320

(714) 557-6300

(714) 966-9567

Mailing Location

2742 Dow Ave, Tustin, CA 92780-7242

(714) 665-1600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License G55701 California

Provider Identifiers

ID	Description	Issuer
ID 00G557010	Description Medicaid	Issuer Unlisted California

Joseph Horejsi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Nguyen, Gina-Nga T

Bangsil, Ronald Yusi

Phan, Thao Minh

Pollack, Stella D

Nguyen, An Thi-Ngoc

Acosta, Arturo

Shaw, Pravin

Dewing, Tarlan Ariana

Wass, Adam M

Md24 San Diego, Inc.