Individual provider Active NPI

Asish Ghoshal, M.D.

  • Neurology Physician
  • Carmichael, CA
National Provider Identifier
1700087145
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A42055 Issued in CA
Practice address
6601 Coyle Ave
Carmichael, CA 95608-6311
Phone
(916) 967-1288
Fax
(916) 967-0518
NPI assigned
May 31, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A42055 CA Primary
Psychosomatic Medicine Physician 2084P0015X A42055 CA

Addresses

Primary practice location

6601 Coyle Ave
Carmichael, CA 95608-6311

Mailing address

6601 Coyle Ave
Carmichael, CA 95608-6311
Phone (916) 967-1288

Other practice location 1

15630 18th Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

Other identifiers 1

IdentifierTypeStateIssuer
00A420550MedicaidCA

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
I20110225000817 CA Practitioner - Neurology 5698956431 Reassigns benefits to 6 organizations
Practice locations: Carmichael, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6601 Coyle Ave
Carmichael, CA 95608-6311
Phone (916) 967-1288

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veeone Medical Group II Professional Corporation Neurology CurrentSince Nov 8, 2022 Accepting new patients
Marshall Medical Center Neurology CurrentSince Apr 1, 2019 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Dec 4, 2018 Accepting new patients
Marshall Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Veeone Medical Group PA Neurology CurrentSince Apr 1, 2023 Accepting new patients
Ccmma Ca PC CurrentSince Jul 1, 2025 Accepting new patients

Locations

3581 Palmer Dr
Ste 202
Cameron Park, CA 95682
Phone (530) 672-7000

3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920

1095 Marshall Way
Placerville, CA 95667
Phone (530) 626-2920

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

Organizations & group practices 7

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.

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700087145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COYLE AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086311",
            "telephone_number": "916-967-1288",
            "fax_number": "916-967-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 COYLE AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086311",
            "telephone_number": "916-967-1288",
            "fax_number": "916-967-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15630 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954229336",
            "country_code": "US",
            "telephone_number": "707-994-6486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSHAL",
        "first_name": "ASISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A42055",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "A42055",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A420550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.