Active NPI
David Michael Vesco, M.D
- Adult Medicine Physician
- Calabasas, CA
National Provider Identifier
1629084074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A43384
- Practice address
- 4937 Las Virgenes Rd Ste 104
Calabasas, CA 91302-2949 - Phone
- (818) 880-0799
- Fax
- (818) 880-6689
- NPI assigned
- Jul 31, 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A43384 | CA | Primary |
Addresses
Primary practice location
4937 Las Virgenes Rd Ste 104
Calabasas, CA 91302-2949
Mailing address
4937 Las Virgenes Rd Ste 104
Calabasas, CA 91302-2949
Phone (818) 880-0799
Other names 1
- Dr. Vesselin T Tchalakov
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100626000071 | CA | Practitioner - Internal Medicine | 0244361871 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4937 Las Virgenes Rd
Suite 104
Calabasas, CA 91302-2949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43384 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Robles Regional Medical Center | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Canyon Medical Center Corporation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Non-Pharmacy Dispensing Site
- Calabasas, CA
- NPI 1972822666
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629084074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4937 LAS VIRGENES RD STE 104",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913022949",
"telephone_number": "818-880-0799",
"fax_number": "818-880-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4937 LAS VIRGENES RD STE 104",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913022949",
"telephone_number": "818-880-0799",
"fax_number": "818-880-6689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESCO",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A43384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VESSELIN",
"last_name": "TCHALAKOV",
"middle_name": "T",
"prefix": "DR.",
"credential": "M.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.