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MR. MARVIN PIETRUSZKA M.D.
NPI 1740393446
Internal Medicine in Reseda, CA

Active since August 16, 2006CLIA 05D0558455 · Waiver
19234 VANOWEN ST, RESEDA, CA 91335(310) 914-9150(310) 914-9705 Get Directions Write a Review

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

About Mr. Marvin Pietruszka M.d. NPPES

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

MR. MARVIN PIETRUSZKA M.D. (NPI 1740393446) is an individual internal medicine provider in Reseda, California, licensed in California (A30858) and active in the NPI registry since August 2006. He holds a CLIA Waiver certificate valid through August 31, 2026.

NPPES Registry Identity

NPI1740393446
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. MARVIN PIETRUSZKACredential: M.D.
Location Address19234 VANOWEN STReseda, CA 91335-5000
Mailing Address19234 Vanowen StReseda, CA 91335-5000 · (310) 914-9150 · Fax (310) 914-9705
Phone(310) 914-9150
Fax(310) 914-9705
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740393446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A30858
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19234 VANOWEN ST, Reseda, CA 91335
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Other Identifiers 3

Medicare ID-Type UnspecifiedA30858CA
Medicare UPINA26259CA
Medicaid00A308580CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0558455

Marvin Pietruszka MD Del Carmen Med Center · Reseda, CA
Active · expires Aug 31, 2026
CLIA Number05D0558455
Laboratory TypeIndependent
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMarvin Pietruszka
Laboratory Phone(818) 705-1157
Laboratory LocationMarvin Pietruszka MD Del Carmen Med Center19234 Vanowen Street, Reseda, CA 91335
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

HONEY HARRIET PIETRUSZKA PSY.D.
Psychiatry & Neurology (Psychiatry)
19234 VANOWEN ST
RESEDA, CA 91335
Los Angeles County (310) 278-1933
DEL-CARMEN MEDICAL GROUP
Internal Medicine
19234 VANOWEN ST
RESEDA, CA 91335
Los Angeles County (310) 914-9150
PROFESSIONAL MINDS, PC
Non-Pharmacy Dispensing Site
19234 VANOWEN ST
RESEDA, CA 91335
Los Angeles County (818) 638-3123

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 Marvin Pietruszka's NPI number?

The NPI number for Marvin Pietruszka is 1740393446. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Marvin Pietruszka located?

Marvin Pietruszka practices at 19234 Vanowen St, Reseda, CA 91335. The listed phone number is (310) 914-9150.

What is Marvin Pietruszka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Marvin Pietruszka hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0558455) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marvin Pietruszka 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.