Active NPI
Michael Azmy Ghaly, MD
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1013106897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A95429
- Practice address
- 1060 Howard St
San Francisco, CA 94103-2820 - Phone
- (415) 995-1700
- NPI assigned
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A95429 | CA | Primary |
Addresses
Primary practice location
1060 Howard St
San Francisco, CA 94103-2820
Mailing address
1060 Howard St
San Francisco, CA 94103-2820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210627000012 | CA | Order and Referring Only - Psychiatry | 4880878230 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1013106897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 HOWARD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 HOWARD ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032820",
"telephone_number": "415-995-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALY",
"first_name": "MICHAEL",
"middle_name": "AZMY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A95429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.