Individual provider Active NPI

Greg Ellis Maler, DO

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1033613104
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17625 Issued in CA
Practice address
1450 E Holt Ave
Pomona, CA 91767-5822
Phone
(909) 630-7927
Fax
(909) 620-6719
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 20A17625 CA Primary

Addresses

Primary practice location

1450 E Holt Ave
Pomona, CA 91767-5822

Mailing address

1450 E Holt Ave
Pomona, CA 91767-5822
Phone (909) 630-7927

Other practice location 1

1700 E Saunders St
Laredo, TX 78041
Phone (956) 796-5000 ext. 4934

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220628003096 CA Practitioner - Family Practice 5890184659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pomona Community Health CenterGroup PAC ID 5890940605, 7 clinicians

Practice addresses (Care Compare)

1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 984-7384

2680 E Riverside Dr
Ontario, CA 91761-7307
Phone (909) 630-7927

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17625CAMDClinical Psychologist
20A17625CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Community Health Center Current Accepting new patients
Pomona Community Health Center CurrentSince Jun 1, 2022 Accepting new patients
Pomona Community Health Center CurrentSince Jun 1, 2022 Accepting new patients

Locations

2680 E Riverside Dr
Ontario, CA 91761
Phone (909) 469-9013

1450 E Holt Ave
Pomona, CA 91767

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: greg.maler@direct.parktreechc.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1033613104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675822",
            "telephone_number": "909-630-7927",
            "fax_number": "909-620-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675822",
            "telephone_number": "909-630-7927",
            "fax_number": "909-620-6719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Saunders St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "78041",
            "country_code": "US",
            "telephone_number": "956-796-5000 x4934",
            "fax_number": "956-796-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALER",
        "first_name": "GREG",
        "middle_name": "ELLIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.