Shaulvi Samir Mali

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

42332 Issued in CA

Practice address

774 S Placentia Ave Ste 200
Placentia, CA 92870-6838

Phone

(415) 812-9295

NPI assigned

Nov 3, 2022

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1184331688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WATERBURY LN",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949498237",
            "telephone_number": "617-775-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S PLACENTIA AVE STE 200",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706838",
            "telephone_number": "415-812-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALI",
        "first_name": "SHAULVI",
        "middle_name": "SAMIR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "42332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duy Mai, RPH
• Makar Makarian
• Christine Makimoto-Williams
• Marissa Melia Maldonado
• Deeti Mali
• Noora Malik, DACM, L.AC., DIPL.OM
• Atalia Malin, MA
• Roxanna Mancilla
• Amy Mandel, LMFT
• Amelia Azucena Castro Maniago

• Geriatric Physical Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.