NPIMap

Individual provider Active NPI

Tigalat Shalita, D.O.

  • Family Medicine Physician
  • West Hills, CA
National Provider Identifier
1205852316
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9000 Issued in CA
Practice address
7230 Medical Center Dr Ste 202
West Hills, CA 91307
Phone
(818) 676-0080
Fax
(818) 676-0090
NPI assigned
Jul 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9000 CA Primary
General Practice Physician 208D00000X 20A9000 CA

Addresses

Primary practice location

7230 Medical Center Dr Ste 202
West Hills, CA 91307

Mailing address

P.O. Box 27206
Los Angeles, CA 90027
Phone (818) 676-0080

Other identifiers 2

IdentifierTypeStateIssuer
20A9000OtherCALICENSE
1265540256OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000642 CA Practitioner - Family Practice 7113949371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tigalat Shalita, D O Inc.Group PAC ID 7517964752, 2 clinicians

Practice addresses (Care Compare)

7230 Medical Ctr Dr
Suite 202
West Hills, CA 91307-4006
Phone (818) 676-0080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9000CAMDFamily Medicine Physician
9000CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tigalat Shalita D O Inc. Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Tigalat Shalita, D O Inc. Family Medicine Current Accepting new patients
Quality Palliative Care, Incorporated Family Medicine PastSince Dec 27, 2011 Accepting new patients

Locations

7230 Medical Center Dr
Ste 202
West Hills, CA 91307
Phone (818) 676-0080

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Saver Hospice IncSherman Oaks, CA, CCN 921624 Hospice Contracted Managing Employee Jun 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205852316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "818-676-0080",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 202",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-676-0080",
            "fax_number": "818-676-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALITA",
        "first_name": "TIGALAT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9000",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A9000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265540256",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.