NPIMap

Organization Active NPI

Perry Maloff, M.D., a Medical Corp

  • Prescribing (Medical) Psychologist
  • Covina, CA
National Provider Identifier
1205021045
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
G40885 Issued in CA
Legal business name
PERRY MALOFF, M.D., A MEDICAL CORP
Practice address
100 S Citrus Ave
Suite 206
Covina, CA 91723-2653
Phone
(626) 915-7581
Fax
(626) 915-7588
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Dr. Perry A Maloff, M.D.NPI 1033265301
Title
President
Phone
(626) 915-7581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X G40885 CA Primary

Addresses

Primary practice location

100 S Citrus Ave
Suite 206
Covina, CA 91723-2653

Mailing address

100 S Citrus Ave
Suite 206
Covina, CA 91723-2653
Phone (626) 915-7581

National Provider Directory

National Provider Directory

Locations

100 S Citrus Ave
Ste 206
Covina, CA 91723
Phone (626) 915-7581

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1205021045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CITRUS AVE",
            "address_2": "SUITE 206",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232653",
            "telephone_number": "626-915-7581",
            "fax_number": "626-915-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CITRUS AVE",
            "address_2": "SUITE 206",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232653",
            "telephone_number": "626-915-7581",
            "fax_number": "626-915-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY MALOFF, M.D., A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "MALOFF",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-915-7581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "CA",
            "license": "G40885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.