Active NPI
Hermes Bustos Mallari, D.D.S.
- Dentist
- Redding, CA
National Provider Identifier
1033177407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52427
- Practice address
- 2147 Court St
Redding, CA 96001-2531 - Phone
- (530) 246-4100
- NPI assigned
- May 3, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 52427 | CA | Primary |
Addresses
Primary practice location
2147 Court St
Redding, CA 96001-2531
Mailing address
2246 Gold St
Redding, CA 96001-2419
Phone (530) 246-3381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52427 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033177407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2246 GOLD ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960012419",
"telephone_number": "530-246-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2147 COURT ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960012531",
"telephone_number": "530-246-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLARI",
"first_name": "HERMES",
"middle_name": "BUSTOS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.