Active NPI
Alan Darush, M.D.
- Internal Medicine Physician
- Northridge, CA
National Provider Identifier
1649246794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A84425
- Practice address
- 8540 Reseda Blvd
Suite 103
Northridge, CA 91324-4628 - Phone
- (818) 280-0700
- Fax
- (818) 993-6900
- NPI assigned
- Feb 28, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A84425 | CA | Primary |
Addresses
Primary practice location
8540 Reseda Blvd
Suite 103
Northridge, CA 91324-4628
Mailing address
PO Box 77790
Corona, CA 92877-0126
Phone (818) 280-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A84425 | Other | CA | STATE LISENCE |
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 |
|---|---|---|---|---|
| I20041221000982 | CA | Practitioner - Internal Medicine | 2466410535 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1189 Swallow LN
Suite 100
Simi Valley, CA 93065-3157
Phone (805) 526-3365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84425 | CA | MD | Pharmacist |
| A84425 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan Darush, M.D., a Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Beverly Hills Migraine and Pain Management Institute, Inc | Past | Accepting new patients |
Locations
8540 Reseda Blvd
Ste 103
Northridge, CA 91324
Phone (424) 302-0289
1189 Swallow Ln
Ste 100
Simi Valley, CA 93065
Phone (805) 526-3365
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Northridge, CA
- NPI 1669501409
CA, Internal Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Beverly Hills, CA
- NPI 1982158663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1649246794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 77790",
"city": "CORONA",
"state": "CA",
"postal_code": "928770126",
"telephone_number": "818-280-0700",
"fax_number": "818-993-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8540 RESEDA BLVD",
"address_2": "SUITE 103",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244628",
"telephone_number": "818-280-0700",
"fax_number": "818-993-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARUSH",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A84425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISENCE",
"identifier": "A84425",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.