Willard L Maletz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G061263 Issued in CA

Practice address

3939 Atlantic Ave
Suite 205
Long Beach, CA 90807-3536

Phone

(562) 989-6457

Fax

(562) 989-6661

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1174533558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907400052",
            "telephone_number": "562-989-6457",
            "fax_number": "866-617-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE",
            "address_2": "SUITE 205",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073536",
            "telephone_number": "562-989-6457",
            "fax_number": "562-989-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALETZ",
        "first_name": "WILLARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G061263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G61263",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Teresa Maldonado
• Tiburcio Maldonado
• Yadira Maldonado
• Irene A Malek, M.D.
• Reza Malekzadeh, DDS
• Maria Malgapo, PT
• Malgorzata Stanczyk MD Inc
• Shalini Thomas Malickal, DNP, APRN, FNP
• Iqtadar Malik
• Rena D Malik, M.D.

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.