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VICTOR LUIS MLECZKO MD
NPI 1851741896
Family Medicine in Venice, CA

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 392-8636 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, Oct 15, 2019, Jun 21, 2016 (3 updates tracked since 2016).

About Victor Luis Mleczko Md NPPES

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

VICTOR LUIS MLECZKO MD (NPI 1851741896) is an individual family medicine provider in Venice, California, licensed in California (A152130) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Martinez, and is a graduate of University Of California, San Francisco School Of Medicine (2019).

NPPES Registry Identity

NPI1851741896
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameVICTOR LUIS MLECZKOCredential: MD
Location Address604 ROSE AVEVenice, CA 90291
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Phone(310) 392-8636
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2019
Enumeration DateJune 21, 2016
Last NPPES UpdateFebruary 23, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1851741896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A152130
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
604 ROSE AVE, Venice, CA 90291
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 Alhambra AveMartinez, CA 94553-3156 · Phone (925) 370-5200

Other Identifiers 1

Medicaid1851741896CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victor Luis Mleczko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901167386
PECOS Enrollment IDI20200127000302
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BEVERLY ANN KARPMAN M.D.
Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ALEXANDER PAPPAS MD
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MICHAEL ALAN DONATH
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
DR. MITESH G POPAT MD
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636
MIRIAM C PADILLA M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 664-7600
MERRIES N. THOMPSON-MARVEL DMD
Dentist
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
SUSAN MOJDEH PARTOVI M.D.
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8630
ELISABETH HELEN CEDERBLOM FNP
Nurse Practitioner (Family)
604 ROSE AVE
VENICE, CA 90291
Los Angeles County (310) 392-8636

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 Victor Mleczko's NPI number?

The NPI number for Victor Mleczko is 1851741896. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Victor Mleczko located?

Victor Mleczko practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Victor Mleczko's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Victor Mleczko enrolled in Medicare?

Yes. Victor Mleczko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Victor Mleczko was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.