Individual provider Active NPI

David Michael Graham, M.D.

  • Family Medicine Physician
  • National City, CA
National Provider Identifier
1639338601
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34436 Issued in CA
Practice address
305 E 8TH St
National City, CA 91950-2311
Phone
(619) 477-0084
Fax
(619) 477-2066
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34436 CA Primary

Addresses

Primary practice location

305 E 8TH St
National City, CA 91950-2311

Mailing address

305 E 8TH St
National City, CA 91950-2311
Phone (619) 477-0084

Other identifiers 1

IdentifierTypeStateIssuer
00A344360MedicaidCA

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
I20081119000079 CA Practitioner - Family Practice 2062572118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians

Practice addresses (Care Compare)

201 S Broadway
Santa Ana, CA 92701-5633
Phone (714) 571-4941

305 E 8TH St
National City, CA 91950-2311
Phone (619) 477-0084

Hospital & facility affiliations

  • Paradise Valley Hospital Hospital, National City, CA, CCN 050024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34436CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David M Graham MD Apc Family Medicine CurrentSince Mar 1, 1989 Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

305 E 8th St
National City, CA 91950
Phone (619) 477-0084

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 2

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1639338601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 8TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502311",
            "telephone_number": "619-477-0084",
            "fax_number": "619-477-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 8TH ST",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502311",
            "telephone_number": "619-477-0084",
            "fax_number": "619-477-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A344360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.