NPIMap

Organization Active NPI

Michael J Palchak

  • Internal Medicine Physician
  • Davis, CA
National Provider Identifier
1508085341
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G63751 Issued in CA
Legal business name
MICHAEL J PALCHAK
Practice address
25133 County Road 96
Davis, CA 95616-9476
Phone
(530) 759-9280
Fax
(530) 758-6904
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Michael Joseph Palchak, MDNPI 1316970338
Title
Owner
Phone
(530) 758-6974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G63751 CA Primary

Addresses

Primary practice location

25133 County Road 96
Davis, CA 95616-9476

Mailing address

25133 County Road 96
Davis, CA 95616-9476
Phone (530) 758-6974

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1508085341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25133 COUNTY ROAD 96",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169476",
            "telephone_number": "530-758-6974",
            "fax_number": "530-758-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25133 COUNTY ROAD 96",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169476",
            "telephone_number": "530-759-9280",
            "fax_number": "530-758-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J PALCHAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "PALCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-758-6974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.