Individual provider Active NPI

David Michael Vesco, M.D

  • Adult Medicine Physician
  • Calabasas, CA
National Provider Identifier
1629084074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A43384 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20100626000071 CA Practitioner - Internal MedicinePractitioner - Family Practice 0244361871

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
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

LicenseStateTypeSpecialty
A43384CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.