Active NPI
David L. Palchak, M.D.
- Hematology & Oncology Physician
- Arroyo Grande, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G60994
- Practice address
- 584 Camino Mercado
Arroyo Grande, CA 93420-1816 - Phone
- (805) 474-9143
- Fax
- (805) 474-9569
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G60994 | CA | Primary |
Addresses
Primary practice location
584 Camino Mercado
Arroyo Grande, CA 93420-1816
Mailing address
PO Box 579
Pismo Beach, CA 93448-0579
Phone (805) 474-9143
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110116966 | Other | CA | RAILROAD MEDICARE |
| 00G609940 | Other | CA | BLUE SHIELD |
| 77-0368079 | Other | CA | BLUE CROSS |
| 00G609941 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Saint Louis University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
584 Camino Mercado
Arroyo Grande, CA 93420-1816
Phone (805) 474-9143
Hospital & facility affiliations
- Central Coast Home Health Inc
- Marian Regional Medical Center
- French Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60994 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCR Oncology, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
584 Camino Mercado
Arroyo Grande, CA 93420
Phone (805) 473-8983
921 Oak Park Blvd
Ste 100A
Pismo Beach, CA 93449
Phone (805) 474-9143
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- david.palchak@pcronc.ikm.direct-ci.com
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Arroyo Grande, CA
- NPI 1891139317
-
- General Acute Care Hospital
- Arroyo Grande, CA
- NPI 1770659336
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1396815965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934480579",
"telephone_number": "805-474-9143",
"fax_number": "805-474-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 CAMINO MERCADO",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934201816",
"telephone_number": "805-474-9143",
"fax_number": "805-474-9569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALCHAK",
"first_name": "DAVID",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G60994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110116966",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G609940",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "77-0368079",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G609941",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.