Individual provider Active NPI

Raphael T Malikian, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1033505268
Registry record updated Oct 27, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jun 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A159422 Issued in CA
Practice address
7083 Hollywood Blvd Ste 4099
Los Angeles, CA 90028-8901
Phone
(818) 319-2561
Fax
(833) 904-2779
NPI assigned
Apr 14, 2015
Last updated
Oct 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A159422 CA Primary

Addresses

Primary practice location

7083 Hollywood Blvd Ste 4099
Los Angeles, CA 90028-8901

Mailing address

7083 Hollywood Blvd Ste 4099
Los Angeles, CA 90028-8901
Phone (818) 319-2561

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A159422CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: raphael.malikian.p1@direct.lakeside.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1033505268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7083 HOLLYWOOD BLVD STE 4099",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288901",
            "telephone_number": "818-319-2561",
            "fax_number": "833-904-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7083 HOLLYWOOD BLVD STE 4099",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288901",
            "telephone_number": "818-319-2561",
            "fax_number": "833-904-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIKIAN",
        "first_name": "RAPHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A159422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.