Kameelah R Malone

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

4498 Issued in CA

Practice address

12959 Moreno Beach Dr Apt 8305
Moreno Valley, CA 92555-4482

Phone

(951) 292-8910

NPI assigned

Nov 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1144988908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12959 MORENO BEACH DR APT 8305",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554482",
            "telephone_number": "951-292-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 MORENO BEACH DR APT 8305",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554482",
            "telephone_number": "951-292-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "KAMEELAH",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel A Makhlouf, M.D.
• Stephanie Maldonado
• Robert Malek
• Malibu Transportation LLC
• Kristen Audrey Malloy
• Sharee L Malone
• Cesar Mamani, DDS
• Abigail Alyssa Aviles Manahan
• Tyler Manalo
• Ketsuree Maneewong

• Speech-Language Assistant in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.