Individual provider Active NPI

Razan Malkawi, SLPA

  • Speech-Language Assistant
  • Anaheim, CA
National Provider Identifier
1053812628
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
4723 Issued in CA
Practice address
140 S Chaparral CT
Anaheim, CA 92808-2239
Phone
(714) 282-8852
NPI assigned
Feb 27, 2018
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 4723 CA Primary

Addresses

Primary practice location

140 S Chaparral CT
Anaheim, CA 92808-2239

Mailing address

8228 E Blackwillow Cir
210
Anaheim, CA 92808-1979
Phone (714) 280-7037

Other identifiers 1

IdentifierTypeStateIssuer
4723OtherCASLPAHADB

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

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1053812628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 E BLACKWILLOW CIR",
            "address_2": "210",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081979",
            "telephone_number": "714-280-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CHAPARRAL CT",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082239",
            "telephone_number": "714-282-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKAWI",
        "first_name": "RAZAN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLPAHADB",
            "identifier": "4723",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.