Active NPI
Gamal Demian Abdelmalak
- Pharmacist
- Hesperia, CA
National Provider Identifier
1114606852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44846
- Practice address
- 11919 Hesperia Rd # Sutc
Hesperia, CA 92345-2158 - Phone
- (760) 244-3777
- NPI assigned
- Jul 11, 2023
- Last updated
- Jul 11, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44846 | CA | Primary |
Addresses
Primary practice location
11919 Hesperia Rd # Sutc
Hesperia, CA 92345-2158
Mailing address
3905 Coolidge Ave
Los Angeles, CA 90066-5007
Phone (310) 391-2030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44846 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1114606852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 COOLIDGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665007",
"telephone_number": "310-391-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11919 HESPERIA RD # SUTC",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923452158",
"telephone_number": "760-244-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELMALAK",
"first_name": "GAMAL",
"middle_name": "DEMIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-11",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hesperia, CA
- A Family Pharmacy Inc (A Family Pharmacy)
- A Family Pharmacy-Hesperia
- A Juspine Chiropactic Inc (Realign Chiropractic)
- A New Beginning Therapeutic Solutions Counseling Center
- Aaa Family Medical Group
- Abraham Wilson Inc (Jacaranda Community Urgent Care)
- Husam Abukhiran
- Huda Abunaja
- Accept Family Counseling
- Mathurin Mokom Achiri, PHARMD, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.