Organization Active NPI

Kamini Malhotra, M.D Inc

Doing business as Biopath Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Fountain Valley, CA
National Provider Identifier
1023150182
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
KAMINI MALHOTRA, M.D INC
Doing business as
Biopath Medical Group
Practice address
17150 Newhope St
Suite 117
Fountain Valley, CA 92708-4273
Phone
(714) 433-1330
Fax
(714) 755-2984
NPI assigned
Feb 13, 2007
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
KAMINI MALHOTRA, M.D INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Kamini Malhotra, M.D.NPI 1235134263
Title
President
Phone
(714) 433-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

17150 Newhope St
Suite 117
Fountain Valley, CA 92708-4273

Mailing address

17150 Newhope St
Suite 117
Fountain Valley, CA 92708-4273
Phone (714) 433-1330

Other identifiers 3

IdentifierTypeStateIssuer
05D0974660OtherCAPTAN
GR0083600MedicaidCA
LAB7466OFMedicaidCA

Other names 1

  • Biopath Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000965 CA Part B Supplier - Independent Clinical Laboratory 1557255130 Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory
Part of
Malhotra Barasch MDS

Locations

17150 Newhope St
Ste 117
Fountain Vly, CA 92708
Phone (714) 433-1330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1023150182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST",
            "address_2": "SUITE 117",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084273",
            "telephone_number": "714-433-1330",
            "fax_number": "714-755-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 NEWHOPE ST",
            "address_2": "SUITE 117",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084273",
            "telephone_number": "714-433-1330",
            "fax_number": "714-755-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMINI MALHOTRA, M.D INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAMINI MALHOTRA, M.D INC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "KAMINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-433-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "05D0974660",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083600",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB7466OF",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biopath Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.