Deepli Malla DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEEPLI MALLA DDS

Doing business as

Deepli Malla DDS

Practice address

2059 High St
Selma, CA 93662-3512

Phone

(559) 896-8888

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deepli Malla, DDS

Title

Self

Phone

(559) 909-4354

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deepli Malla DDS Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepali Malla

  • General Practice Dentistry
  • Mountain House, CA
  • NPI 1114536570
  NPD (past)
• Mandeep Singh Sandhu, D.D.S

  • General Practice Dentistry
  • Selma, CA
  • NPI 1710207311
  NPD (past)

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1235731548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623512",
            "telephone_number": "559-909-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 HIGH ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623512",
            "telephone_number": "559-896-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPLI MALLA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "MALLA",
        "authorized_official_first_name": "DEEPLI",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "559-909-4354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114536570",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "d.malla@u.pacific.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "mail",
            "address_1": "2059 High St",
            "city": "Selma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936623512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Deepli Malla DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crestwood Behavioral Health, Inc. (Selma Wellness Center)
• Gail Lynn Daher, LVN
• David R. King, O.D., Inc.
• Reyna Amanda De la Cruz, LVN
• Deborah Finegold D.D.S., Inc.
• Alexandra Llamas Diaz
• Daniela Diaz
• Socorro Marquez Diaz, FNP
• Allison Dobrinin
• Mankamal Dosanjh, FNP

• Dental Clinic/Center in Selma, CA
• Providers in Selma, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.