Individual provider Active NPI

Devadatt Madhukar Mishal, M.D.

  • Obstetrics & Gynecology Physician
  • Downey, CA
National Provider Identifier
1285673129
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A36594 Issued in CA
Practice address
8500 Florence Ave
Suite 200
Downey, CA 90240-4054
Phone
(562) 869-4579
Fax
(562) 862-1765
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A36594 CA Primary

Addresses

Primary practice location

8500 Florence Ave
Suite 200
Downey, CA 90240-4054

Mailing address

8500 Florence Ave
Suite 200
Downey, CA 90240-4054
Phone (562) 869-4579

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000605 CA Practitioner - Obstetrics/Gynecology 9436157781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Mishal, Pham and AssociatesGroup PAC ID 4789610395, 3 clinicians

Practice addresses (Care Compare)

8500 E Florence Ave
2ND Floor
Downey, CA 90240-4056
Phone (562) 869-4579

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36594CAMDGeneral Practice Dentistry
A36594CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Devank LLC Current Accepting new patients
DRS. Mishal, Pham & Associates Obstetrics & Gynecology CurrentSince Jul 1, 1996 Accepting new patients
St Francis Medical Center Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Ame Medical Group Inc PastSince Jul 1, 1996 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Pih Health Physicians Obstetrics & Gynecology Past Accepting new patients

Locations

8500 Florence Ave
Ste 200
Downey, CA 90240
Phone (562) 869-4579

8500 Florence Ave
Fl 2
Downey, CA 90240
Phone (562) 869-4579

14359 Pioneer Blvd
Ste A
Norwalk, CA 90650
Phone (562) 864-7279

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1285673129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 FLORENCE AVE",
            "address_2": "SUITE 200",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404054",
            "telephone_number": "562-869-4579",
            "fax_number": "562-862-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 FLORENCE AVE",
            "address_2": "SUITE 200",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404054",
            "telephone_number": "562-869-4579",
            "fax_number": "562-862-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAL",
        "first_name": "DEVADATT",
        "middle_name": "MADHUKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A36594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.