Active NPI
Menalam Health Services PC
- Diagnostic Radiology Physician
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MENALAM HEALTH SERVICES PC
- Practice address
- 250 S Grand Ave
Glendora, CA 91741-4218 - Phone
- (626) 963-8411
- NPI assigned
- Dec 3, 2025
- Last updated
- Oct 19, 2026
- Organization subpart
- Yes
- Parent organization
- MENALAM HEALTH SERVICES PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Andrew Birdsall, MD
- Title
- Coo
- Phone
- (510) 851-7411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
250 S Grand Ave
Glendora, CA 91741-4218
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/ | Other | Management Services Network, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, KY, MS, CO, OK, TX, MN, NY, AZ, PA, NJ, DE, IL, MD, HI, WA, OR, NC, VA, MA, FL, KS, MI, DC, AL, IN
Enrollment records 26
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210712002579 | CA | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 86 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Twentynine Palms, CA; West Covina, CA; Van Nuys, CA; Tarzana, CA; Simi Valley, CA; Santa Clara, CA; San Luis Obispo, CA; San Diego, CA… |
| O20260127004132 | KY | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Crestwood, KY; Lexington, KY |
| O20260128001140 | MS | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Biloxi, MS; Ocean Springs, MS |
| O20260128001754 | CO | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Denver, CO |
| O20260128002843 | OK | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Nichols Hills, OK; Oklahoma City, OK |
| O20260129000433 | TX | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 5 practitioners Practice locations: Spring, TX; San Antonio, TX; Houston, TX; Plano, TX; League City, TX; Dallas, TX; Lumberton, TX |
| O20260129000880 | MN | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Minneapolis, MN |
| O20260129001957 | NY | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 3 practitioners Practice locations: Jericho, NY; Poughkeepsie, NY; Valley Stream, NY |
| O20260202001707 | AZ | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Phoenix, AZ; Scottsdale, AZ |
| O20260203001295 | PA | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Girard, PA; Wynnewood, PA |
| O20260203002544 | NJ | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Hoboken, NJ; Trenton, NJ |
| O20260203003399 | DE | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Magnolia, DE |
| O20260203003635 | IL | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Lake Zurich, IL |
| O20260204001138 | MD | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Baltimore, MD |
| O20260204002348 | HI | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Kaneohe, HI |
| O20260204002503 | WA | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellevue, WA |
| O20260205000206 | OR | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Beaverton, OR |
| O20260205002791 | NC | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Fayetteville, NC; Chapel Hill, NC |
| O20260205003405 | VA | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 5 practitioners Practice locations: Ashburn, VA; Chesapeake, VA; Danville, VA; Suffolk, VA; Williamsburg, VA |
| O20260206002343 | MA | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Acton, MA; Hopkinton, MA |
| O20260212000511 | FL | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 7 practitioners Practice locations: Orlando, FL; Miami, FL; Windermere, FL; St Petersburg, FL; Oviedo, FL; Wesley Chapel, FL |
| O20260213001937 | KS | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Lawrence, KS |
| O20260223001782 | MI | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 2 practitioners Practice locations: Grand Rapids, MI; Ann Arbor, MI |
| O20260223003795 | DC | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 3 practitioners Practice locations: Gaithersburg, MD; Arlington, VA; Rockville, MD |
| O20260309002771 | AL | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Trussville, AL |
| O20260407002150 | IN | Part B Supplier - Clinic/Group Practice | 7012319163 |
Receives reassigned benefits from 1 practitioner Practice locations: Indianapolis, IN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Vituity
- Hospitalist Physician
- Simi Valley, CA
- NPI 1114594967
7012319163
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Vituity
- Hospitalist Physician
- Simi Valley, CA
- NPI 1114594967
O20210712002579
National Provider Directory
National Provider Directory- Part of
- Menalam Health Services PC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 118
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792368000000",
"number": "1003779596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081872",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414218",
"telephone_number": "626-963-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENALAM HEALTH SERVICES PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MENALAM HEALTH SERVICES PC",
"enumeration_date": "2025-12-03",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "510-851-7411",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1036.1",
"affiliationName": "Management Services Network, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2357 Warm Springs Rd Ste 400",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319046874",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendora, CA
- Krunal Jayantkumar Mehta, M.D.
- Melissa Chong OD Optometry Corporation
- Melissa Frost RN a Professional Corporation (Frost Mental Healthcare)
- Kurt Allan Melstrom Jr., MD
- Melvyn H. Krause, M. D. and John J. Di Mare Jr., M.D., Inc.
- Jessica G Mendez
- Vanessa Mendez
- Kimberlee Sue Mendoza, LMFT
- Marysol Mendoza
- Dawn Lasister Menting, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.