Individual provider Active NPI

James Malinak

  • Prosthetist
  • Santa Clarita, CA
National Provider Identifier
1144671405
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CP004017
Practice address
23206 Lyons Ave Ste 111
Santa Clarita, CA 91321-2671
Phone
(661) 753-9260
Fax
(661) 753-9337
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X C50915
Prosthetist 224P00000X CP004017 Primary

Addresses

Primary practice location

23206 Lyons Ave Ste 111
Santa Clarita, CA 91321-2671

Mailing address

23206 Lyons Ave Ste 111
Santa Clarita, CA 91321-2671
Phone (661) 753-9260

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1144671405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 111",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212671",
            "telephone_number": "661-753-9260",
            "fax_number": "661-753-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 111",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212671",
            "telephone_number": "661-753-9260",
            "fax_number": "661-753-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINAK",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "C50915",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CP004017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.