Organization Active NPI

Menalam Health Services PC

  • Diagnostic Radiology Physician
  • Glendora, CA
National Provider Identifier
1003779596
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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
Organization subpart
Yes
Parent organization
MENALAM HEALTH SERVICES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Andrew Birdsall, MDNPI 1164445615
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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

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, IN26 enrollments

Enrollment records 26

Enrollment IDStateProvider typePAC IDDetails
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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

View all 118

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": "1764720000000",
    "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": "2025-12-03",
        "certification_date": "2025-12-03",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.

Verify at the official NPI Registry.