Daljit Mac, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C50502 Issued in CA

Practice address

5014 Chesebro Rd.
2ND Floor
Agoura Hills, CA 91301-4232

Phone

(818) 706-9300

Fax

(818) 707-2672

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Psychiatry

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric Services IncorporatedGroup PAC ID 2860686805, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daljit.mac.1@18773.direct.athenahealth.com

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.

• Psychiatric Services Incorporated

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1417274036
  Medicare reassignment Care Compare group NPD Authorized official
• Family Psychological Services Inc

  • Psychologist
  • Agoura Hills, CA
  • NPI 1881746733
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1871500363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 CHESEBRO RD.",
            "address_2": "2ND FLOOR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014232",
            "telephone_number": "818-706-9300",
            "fax_number": "818-707-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 CHESEBRO RD.",
            "address_2": "2ND FLOOR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014232",
            "telephone_number": "818-706-9300",
            "fax_number": "818-707-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "DALJIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C50502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C505020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lulloff
• Luxury Rehab Group, LLC. (Seasons Agoura)
• Lynn Tumpa, Rd MPBG (Lynn Tumpa, RD)
• Gina Lyons, PH.D.
• M. Farooqui MD Inc
• Sandra Anne Macat Fischbein, M.A.,L.M.F.T
• Heather Macbrair, RD
• Ali Fadel Mahdy, D.D.S.
• Cindy Trish Mai, PHARM. D
• Ajay Malhotra, PH.D.

• Psychiatry Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.

Verify at the official NPI Registry.