Individual provider Active NPI

David L. Palchak, M.D.

  • Hematology & Oncology Physician
  • Arroyo Grande, CA
National Provider Identifier
1396815965
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G60994 Issued in CA
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

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110116966OtherCARAILROAD MEDICARE
00G609940OtherCABLUE SHIELD
77-0368079OtherCABLUE CROSS
00G609941MedicaidCA

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
I20070927000737 CA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 7113012766 Reassigns benefits to 1 organization
Practice locations: Arroyo Grande, CA

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
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
PCR Oncology IncGroup PAC ID 4082933163, 2 clinicians

Practice addresses (Care Compare)

584 Camino Mercado
Arroyo Grande, CA 93420-1816
Phone (805) 474-9143

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60994CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCR Oncology, Inc. Hematology & Oncology CurrentSince Apr 20, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.