Active NPI
Kamini Malhotra, MD
- Anatomic Pathology & Clinical Pathology Physician
- Fountain Valley, CA
National Provider Identifier
1235134263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A32453
- Practice address
- 17150 Newhope St
Ste 117
Fountain Valley, CA 92708-4273 - Phone
- (714) 433-1330
- Fax
- (714) 755-2984
- NPI assigned
- Jun 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A32453 | CA | Primary |
Addresses
Primary practice location
17150 Newhope St
Ste 117
Fountain Valley, CA 92708-4273
Mailing address
PO Box 8969
Fountain Valley, CA 92728-8969
Phone (714) 433-1330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0083600 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32453 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RG Path Associates Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Kamini Malhotra, M.D Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Alta Newport Hospital, LLC | Past | Accepting new patients | |
| Chapman Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Fountain Valley, CA
- NPI 1023150182
-
- General Acute Care Hospital
- Tustin, CA
- NPI 1043632938
-
- Institutional Pharmacy
- Orange, CA
- NPI 1053354308
-
- Anatomic Pathology & Clinical Pathology Physician
- Costa Mesa, CA
- NPI 1770098816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1235134263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8969",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927288969",
"telephone_number": "714-433-1330",
"fax_number": "714-755-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 NEWHOPE ST",
"address_2": "STE 117",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084273",
"telephone_number": "714-433-1330",
"fax_number": "714-755-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "KAMINI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A32453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0083600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.