Active NPI
Daniel David Ghalchi, M.D.
- Family Medicine Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A126365
- Practice address
- 18406 Roscoe Blvd
Northridge, CA 91325-4107 - Phone
- (818) 885-5480
- NPI assigned
- Apr 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A126365 | CA | Primary |
Addresses
Primary practice location
18406 Roscoe Blvd
Northridge, CA 91325-4107
Mailing address
18406 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 885-5480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126365 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Medical Organization, a Medical Group Inc. | Family Medicine | Current | Accepting new patients |
| Amada Concierge Clinics PC | Family Medicine | Current | Accepting new patients |
| Nexus Hospice of the High Desert, LLC | Family Medicine | Current | Accepting new patients |
| Ascendio Health Systems, Inc. | Family Medicine | Past | Accepting new patients |
| Nexus Hospice of the Inland Empire, LLC | Family Medicine | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 150
Burbank, CA 91505
Phone (818) 295-5920
7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393
1500 S Central Ave
Ste 200
Glendale, CA 91204
Phone (818) 242-8916
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
Interoperability endpoints
- daniel.ghalchi.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fresno, CA
- NPI 1629838842
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
Family Medicine
-
- Community Based Hospice Care Agency
- Apple Valley, CA
- NPI 1194342188
Family Medicine
-
- Community Based Hospice Care Agency
- Ontario, CA
- NPI 1780927731
Family Medicine
-
- Community Based Hospice Care Agency
- Colton, CA
- NPI 1467074195
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1124318746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18406 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254107",
"telephone_number": "818-885-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18406 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254107",
"telephone_number": "818-885-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALCHI",
"first_name": "DANIEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-15",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A126365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.