DR. JACK OSCAR PIASECKI M.D.
NPI 1659416741
Neuromusculoskeletal Medicine, Sports Medicine in Tustin, CA

Active since February 20, 2007
17400 IRVINE BLVD, SUITE L, TUSTIN, CA 92780(714) 508-1112(714) 508-3653 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Oscar Piasecki M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK OSCAR PIASECKI M.D. (NPI 1659416741) is an individual neuromusculoskeletal medicine, sports medicine provider in Tustin, California, licensed in California (G53516) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1659416741
Entity TypeIndividualMale
Primary Taxonomy204C00000X
Provider Legal NameDR. JACK OSCAR PIASECKICredential: M.D.
Location Address17400 IRVINE BLVD, SUITE LTustin, CA 92780-3030
Mailing Address17400 Irvine Blvd, Suite LTustin, CA 92780-3030 · (714) 508-1112 · Fax (714) 508-3653
Fax(714) 508-3653
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1659416741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License Licensed in CA · G53516
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
17400 IRVINE BLVD, Tustin, CA 92780

Other Identifiers 3

Medicare UPIND47810
Medicare ID-Type UnspecifiedW19690
Medicare ID-Type UnspecifiedWG53516APpin

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
17400 IRVINE BLVD, SUITE F
TUSTIN, CA 92780
Internal Medicine
17400 IRVINE BLVD, SUITE F
TUSTIN, CA 92780
Legal Medicine
17400 IRVINE BLVD, SUITE N
TUSTIN, CA 92780
Internal Medicine
17400 IRVINE BLVD, SUITE F
TUSTIN, CA 92780
Dentist (General Practice)
17400 IRVINE BLVD, SUITE G
TUSTIN, CA 92780
Specialist
17400 IRVINE BLVD, SUITE M
TUSTIN, CA 92780
Speech-Language Pathologist
17400 IRVINE BLVD, SUITE K
TUSTIN, CA 92780
Chiropractor
17400 IRVINE BLVD, SUITE L
TUSTIN, CA 92780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Piasecki's NPI number?

The NPI number for Jack Piasecki is 1659416741. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Jack Piasecki located?

Jack Piasecki practices at 17400 Irvine Blvd Suite L, Tustin, CA 92780. The listed phone number is (714) 508-1112.

What is Jack Piasecki's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Jack Piasecki was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.