Michael J Malotte

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G61212 Issued in CA

Practice address

895 Aerovista PL
103
San Luis Obispo, CA 93401-8724

Phone

(805) 541-2368

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1255336129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL",
            "address_2": "103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018724",
            "telephone_number": "805-541-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 AEROVISTA PL",
            "address_2": "103",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018724",
            "telephone_number": "805-541-2368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Oak Park Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493410",
            "country_code": "US",
            "telephone_number": "805-481-1368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Church St",
            "address_2": "Medical Staff Office",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "93454",
            "country_code": "US",
            "telephone_number": "805-739-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOTTE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G61212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Malama, CMT
• Henry Abdel Malek, M.D.
• Mary L Malik, PHD
• Jessica M Malone, NP
• Timothy Malone, LMFT
• Jeremiah Malzhan
• Zachariah Malzhan, C.P.,C.O.A.
• Nancy Mancha-Whitcomb, LMFT
• Lauryn Alexis Mankarios
• Enn Mannard, M.D.

• Otolaryngology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.