Princess Roma Resplandor Malilim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

32112 Issued in CA

Practice address

2205 Carob Way
Tustin, CA 92782-8355

Phone

(714) 224-8339

NPI assigned

Feb 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Princess Roma Partoza Resplandor Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1043346117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CAROB WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828355",
            "telephone_number": "714-224-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CAROB WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828355",
            "telephone_number": "714-224-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALILIM",
        "first_name": "PRINCESS ROMA",
        "middle_name": "RESPLANDOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "441 N Lakeview Ave",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928073028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PRINCESS ROMA",
            "last_name": "RESPLANDOR",
            "middle_name": "PARTOZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Duc Mai, PHARM.D.
• Jasima Y Majeed, RPH
• Marina Elia Makar
• Sanam Makhani, PHARMD
• Jamshid Maleki, M.D.
• Madelyn Rose Malisani
• Jeffrey Wayne Mallock, DC
• Michelle Nicole Malloy, M.S., MFT
• Matthew Jacob Sinlao Manalo, PTA
• Dimple Manchandia

• Physical Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.