Individual provider Active NPI

Philip Joshua Enriquez Malijan, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1245091263
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64979 Issued in CA
Practice address
558 Abbott St Ste a
Salinas, CA 93901-4326
Phone
(831) 755-7880
NPI assigned
Jan 17, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64979 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917000987 CA Practitioner - Physician Assistant 9830630938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors on Duty Medical Group, IncGroup PAC ID 2466366703, 64 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64979CAMDPediatric Dentist
PA64979CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Urgent Care PastSince Sep 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pmalijan19461@direct.svmh.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1245091263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 ABBOTT ST STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014326",
            "telephone_number": "831-755-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012260",
            "country_code": "US",
            "telephone_number": "831-422-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIJAN",
        "first_name": "PHILIP JOSHUA",
        "middle_name": "ENRIQUEZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.