Dugald D. Chisholm, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G22464 Issued in CA

Practice address

8575 Morro Rd
Suite K
Atascadero, CA 93422-3924

Phone

(805) 466-5626

Fax

(805) 466-2322

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastal Psychiatric Care, AMC

  • Specialist
  • Atascadero, CA
  • NPI 1376769133
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1366472599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD",
            "address_2": "SUITE K",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223924",
            "telephone_number": "805-466-5626",
            "fax_number": "805-466-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD",
            "address_2": "SUITE K",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223924",
            "telephone_number": "805-466-5626",
            "fax_number": "805-466-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "DUGALD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G22464",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G22464",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G22464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Milch, D.D.S., Inc.
• Cristy Chavez
• Tzu-Chen Cheng, PSY.D.
• Vanessa Lynn Chezem, PSYCHIATRIC TECHNIAN
• Daniel Chinn, MSW
• Kavita Kishore Chowdhary
• Chris E Esguerra MD PC
• Jayme M Christoffersen-Cebi, DO
• Min Tzu Chung
• Maria Chuop, MD

• Psychiatry Physician in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.