Maldonado Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MALDONADO MEDICAL, LLC

Practice address

2022 Broadway Ste B
Santa Monica, CA 90404-2971

Phone

(310) 622-4838

Fax

(310) 622-4553

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brandon James Maxon Maldonado

Title

President

Phone

(602) 265-0077

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1144540816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE",
            "address_2": "SUITE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274736",
            "telephone_number": "602-265-0077",
            "fax_number": "602-265-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROADWAY STE B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042971",
            "telephone_number": "310-622-4838",
            "fax_number": "310-622-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDONADO MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MAXON MALDONADO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-265-0077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Klara Major, LMFT
• Liza Makdisy
• Dr Deborah Maken, N.D.
• Meena Makhijani, D.O.
• Edith Malachi X
• Irma Maldonado-Enriquez, PSY.D.
• Amanda Katherine Maldonado, DDS
• Luis Jesus Maldonado, AOD COUNSELOR
• Ali Ashgar Maleksaeedi, DPT
• Paul Maler, MD

• Durable Medical Equipment & Medical Supplies in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.