Philip Joshua Enriquez Malijan, PA-C
Individual provider Active NPI Physician Assistant · Salinas, CA
NPI 1245091263 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1245091263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA64979 (CA)
- Practice address
- 558 Abbott St Ste a
Salinas, CA 93901-4326 - Phone
- (831) 755-7880
- NPI assigned
- Jan 17, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors on Duty Medical Group, Inc
Practice addresses (Care Compare)
1212 S Main St
Salinas, CA 93901-2260
Phone (831) 422-7777
1505 Main St
Watsonville, CA 95076-3761
Phone (831) 722-1444
1756 N Main St
Salinas, CA 93906-5103
Phone (831) 443-8200
3130 Del Monte Blvd
Marina, CA 93933-3047
Phone (831) 883-3330
501 Lighthouse Ave
Monterey, CA 93940-1439
Phone (831) 649-0770
558 Abbott St
Suite a
Salinas, CA 93901-4326
Phone (831) 755-7880
6800 Soquel Dr
Aptos, CA 95003-3225
Phone (831) 662-3611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917000987 | CA | Practitioner - Physician Assistant | 9830630938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64979 | CA | MD | Dentist |
| PA64979 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salinas Urgent Care | Past |
Accepting new patients |
Interoperability endpoints
- pmalijan19461@direct.svmh.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA64979 | CA | Yes |
Addresses
Primary practice location
558 Abbott St Ste a
Salinas, CA 93901-4326
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000
Other practice location 1
1212 S Main St
Salinas, CA 93901-2260
Phone (831) 422-7777
Other providers in Salinas, CA
- Jose Maldonado III
- Nancy Maldonado
- Tye James Malecha
- Ariana Malek
- Moody W. Malek
- Lena Nerjis Malik
- Emmanuel Maliwanag
- Danika Mallobox
- Jann Carol Malone
- Daisy Mancilla
All providers in Salinas, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.