Individual provider Active NPI

Adham Nabil Malaty, M.D.

  • Psychiatry Physician
  • Santa Barbara, CA
National Provider Identifier
1174818587
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A145692 Issued in CA
Practice address
1933 Cliff Dr Ste 1
Santa Barbara, CA 93109-1502
Phone
(713) 940-7674
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-122246 OH
Student in an Organized Health Care Education/Training Program 390200000X OH
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A145692 CA Primary

Addresses

Primary practice location

1933 Cliff Dr Ste 1
Santa Barbara, CA 93109-1502

Mailing address

319 Salida del Sol
Santa Barbara, CA 93109-2021
Phone (713) 940-7674

Other practice location 1

9500 Euclid Avenue
Cleveland, OH 44195
Phone (216) 444-2200

Other practice location 2

9500 Euclid Avenue
Cleveland, OH 44195
Phone (216) 444-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012001046 CA Practitioner - Psychiatry 6002039351 Reassigns benefits to 2 organizations
Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1933 Cliff Dr
Suite 1
Santa Barbara, CA 93109-1502
Phone (713) 940-7674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145692CAMDPsychiatry Physician
35-122246OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Single Specialty Current Accepting new patients
Traditions Psychiatry Group, P.C Single Specialty CurrentSince Sep 2, 2017 Accepting new patients

Locations

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1174818587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SALIDA DEL SOL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931092021",
            "telephone_number": "713-940-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 CLIFF DR STE 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091502",
            "telephone_number": "713-940-7674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Avenue",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44195",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Avenue",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44195",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALATY",
        "first_name": "ADHAM",
        "middle_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-122246",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A145692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.