Jon Charles Malachowski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CA52494 Issued in CA

Practice address

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929

Phone

(310) 376-6262

Fax

(310) 376-8228

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1760425862
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1033200514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665929",
            "telephone_number": "310-376-6262",
            "fax_number": "310-376-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665929",
            "telephone_number": "310-376-6262",
            "fax_number": "310-376-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALACHOWSKI",
        "first_name": "JON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "CA52494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Fowler Magovern, M.D.
• Kelly Jane Maher, PMHNP-BC
• Nazila Mahgerefteh, D.C.
• Maierle Hearing Solutions PC
• Erin E Maierle, AU.D.
• Emily Malec, AGNP-C
• Monica Males, LMFT
• Michela Maletis, PA-C
• Courtney Elizabeth Maliakkal, PSYD
• Shelly Malone, MPH, RD

• Family Medicine Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.