Organization Active NPI

Imtiaz a. Malik, M.D. Inc.

  • Hematology & Oncology Physician
  • Merced, CA
National Provider Identifier
1215216809
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A39816 Issued in CA
Legal business name
IMTIAZ A. MALIK, M.D. INC.
Practice address
731 E Yosemite Ave
Suite B, PMB# 325
Merced, CA 95340-8039
Phone
(209) 388-1600
Fax
(209) 388-1610
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Imtiaz A Malik, M.D.
Title
Ceo
Phone
(909) 223-2075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X A39816 CA Primary

Addresses

Primary practice location

731 E Yosemite Ave
Suite B, PMB# 325
Merced, CA 95340-8039

Mailing address

3303 M St
Merced, CA 95348-2714
Phone (209) 388-1600

Other identifiers 1

IdentifierTypeStateIssuer
00A398160MedicaidCA

National Provider Directory

National Provider Directory

Locations

139 W El Portal Dr
Ste D
Merced, CA 95348
Phone (209) 354-4675

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1215216809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482714",
            "telephone_number": "209-388-1600",
            "fax_number": "209-388-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E YOSEMITE AVE",
            "address_2": "SUITE B, PMB# 325",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408039",
            "telephone_number": "209-388-1600",
            "fax_number": "209-388-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMTIAZ A. MALIK, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-223-2075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A39816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.