Wilbert Francisco Mallari, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN140349 Issued in AZ

Practice address

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004

Phone

(623) 832-4000

NPI assigned

Nov 17, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1043085343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14728 W ESCONDIDO DR N",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402729",
            "telephone_number": "603-892-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513004",
            "telephone_number": "623-832-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "WILBERT",
        "middle_name": "FRANCISCO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN140349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivasa R Madala, MD
• Samuel M Magazu, MD
• Mason Paul Makdesi
• Manoj Makhija, M.D.
• Nahla Makhoul, MD
• Courtney Mancuso, PT, DPT
• Maria Grace Mandarino, LAC & LMT
• Lovpreet Singh Mangat, M.D.
• Randolph J Mann, PT
• Jenna Nicole Manning, NP-C

• Registered Nurse in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.