Active NPI
Nagui Achamallah, M.D.
- Psychiatry Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A48988
- Practice address
- 1601 Cummins Dr Ste D
Modesto, CA 95358-6411 - Phone
- (510) 900-3125
- NPI assigned
- Jan 11, 2006
- Last updated
- Dec 13, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A48988 | CA | Primary |
Addresses
Primary practice location
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 900-3125
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
- Psychiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48988 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Alliance for Wellness, Inc. | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Psychiatry | Current | Accepting new patients |
| O B Towery MD Inc | Past | Accepting new patients | |
| Providence Facey Medical Foundation | Past | Accepting new patients | |
| Tamika Henry MD Inc | Past | Accepting new patients |
Locations
2740 Grant St
Concord, CA 94520
Phone (925) 518-5844
16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201
2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2930
Interoperability endpoints
- nachamallah18399@ehr.johnmuirhealth.com
- nachamallah814769@oc.providencedirect.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Inglewood, CA
- NPI 1124329131
-
- Psychiatry Physician
- Santa Maria, CA
- NPI 1538757232
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Psychiatry Physician
- Indio, CA
- NPI 1144195926
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Psychiatry
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1316463763
-
- Health Maintenance Organization
- Woodland Hills, CA
- NPI 1952333478
-
- Child & Adolescent Psychiatry Physician
- Concord, CA
- NPI 1023334588
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1629057393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-900-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-900-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHAMALLAH",
"first_name": "NAGUI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2021-12-13",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A48988",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5601 De Soto Ave",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913676701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.