John Daniel Malan, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU1728 Issued in CA

Practice address

1717 Simi Town Center Way Ste 3
Simi Valley, CA 93065-8408

Phone

(805) 579-9324

Fax

(805) 579-9647

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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.

• At2J Enterprises, Inc.

  • Audiologist
  • Simi Valley, CA
  • NPI 1730571332
  Medicare reassignment NPD Authorized official

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2019.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1194862219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SIMI TOWN CENTER WAY STE 3",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930658408",
            "telephone_number": "805-579-9324",
            "fax_number": "805-579-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SIMI TOWN CENTER WAY STE 3",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930658408",
            "telephone_number": "805-579-9324",
            "fax_number": "805-579-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1728",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph J Maiello, DDS
• Maximilian Thomas Mair
• Tony Makhlouf, MD
• Mojgan Makhsoosi, M.D. INC.
• Mark Mako, P.T., O.C.S.
• Malini Soogoor, M.D. Inc
• Leeann Mallari
• Mama Cher Doula Services LLC
• Vhumbani Mancilla, BCBA
• Smita Dinesh Mandal, M.D.

• All providers in Simi Valley, CA
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.