Roman B Malley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A62423 Issued in CA

Practice address

4770 W Herndon Ave
Fresno, CA 93722-8402

Phone

(559) 271-6365

Fax

(559) 271-6326

NPI assigned

Jun 9, 2006

Last updated

Dec 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
• Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
• Horizon Health & Subacute Center Nursing home, Fresno, CA, CCN 055199
• Healthcare Centre of Fresno Nursing home, Fresno, CA, CCN 055626
• Grace Healthcare Center Nursing home, Fresno, CA, CCN 555352
• North Point Healthcare & Wellness Centre LP Nursing home, Fresno, CA, CCN 555179
• Pacific Gardens Nursing and Rehabilitation Center Nursing home, Fresno, CA, CCN 056207

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Fresno Skilled Nursing & Wellness Centre, LLC

  dba Healthcare Centre of Fresno

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1104064575

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  Medicare reassignment Care Compare group NPD
• Long Term Care Medical Group, Inc

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1356479877
  Medicare reassignment Care Compare group NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  NPD (past)

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

• Compassionate Care Home Health

  dba Compassionate Care Home Health Agency, LLC

  • Home Health Agency
  • Fresno, CA
  • NPI 1609826387
  Care Compare affiliation
• Covenant Care California, LLC

  dba Pacific Gardens Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1528100013

  Nursing home

  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Clovis Community Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Fresno Skilled Nursing & Wellness Centre, LLC

  dba Healthcare Centre of Fresno

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1104064575

  Nursing home

  Care Compare affiliation
• GHC of Fresno LLC

  dba Horizon Health & Sub-Acute

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1457069155

  Nursing home

  Care Compare affiliation
• North Point Healthcare & Wellness Centre, LP

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1346642592

  Nursing home

  Care Compare affiliation
• Omnia Healthcare LLC

  • Home Health Agency
  • Clovis, CA
  • NPI 1154748465
  Care Compare affiliation
• R. Fellen, Inc.

  dba Sunnyside Convalescent Hospital

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1891785143

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1083655443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228402",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "ROMAN",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A624230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Maureen Mallard-Warren, MD
• Myla Mallari
• Varun Mallela
• Konstantin Roman Malley
• Natalya G Malley, MD
• Sheila Orallo Mallory, N. P.
• Malo Sports Rehabilitation and Physical Therapy Inc. (Sports, Hand, Arm Rehabilitation Center Physical Therapy)
• Gary A Malone, MFT
• Kaylyn Elizabeth Malone
• Daniel Paul Malouf

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.