Active NPI
Dwight Wayne Malone, M.D.
- Family Medicine Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G71749
- Practice address
- 4201 Torrance Blvd
Ste 790
Torrance, CA 90503-4561 - Phone
- (323) 779-2800
- Fax
- (323) 754-4014
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G71749 | CA | Primary |
Addresses
Primary practice location
4201 Torrance Blvd
Ste 790
Torrance, CA 90503-4561
Mailing address
4201 Torrance Blvd
Ste 790
Torrance, CA 90503-4561
Phone (323) 779-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG717490 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081210000590 | CA | Practitioner - Family Practice | 5092876961 | Practice locations: Carson, CA; Torrance, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4201 Torrance Blvd
Suite 790
Torrance, CA 90503-4561
Phone (310) 649-4800
940 E Dominguez St
Suite G
Carson, CA 90746-7202
Phone (310) 778-0180
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71749 | CA | MD | Marriage & Family Therapist |
| G71749 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Cedars-Sinai Marina Hospital | Past | Accepting new patients | |
| Deorosan Professional Medical Corporation | Past | Accepting new patients | |
| Howard Fein MD Inc | Past | Accepting new patients |
Locations
5230 Pacific Concourse Dr
Ste 110
Los Angeles, CA 90045
Phone (310) 643-0821
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1740817212
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1497939177
-
dba Pacific Dermatology Specialists
- Dermatology Physician
- Rllng HLS Est, CA
- NPI 1073795266
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brea, CA
- NPI 1588845036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1093886269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 TORRANCE BLVD",
"address_2": "STE 790",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034561",
"telephone_number": "323-779-2800",
"fax_number": "323-754-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 TORRANCE BLVD",
"address_2": "STE 790",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034561",
"telephone_number": "323-779-2800",
"fax_number": "323-754-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "DWIGHT",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G71749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG717490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.