Organization Active NPI

Shahid Malik MD PC

Doing business as South Bay Cancer Center

  • Hematology & Oncology Physician
  • Chula Vista, CA
National Provider Identifier
1265002273
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SHAHID MALIK MD PC
Doing business as
South Bay Cancer Center
Practice address
480 4TH Ave Ste 409
Chula Vista, CA 91910-4413
Phone
(619) 425-2080
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Mr. Mohammad Rayhan Khan
Title
Coo
Phone
(619) 425-2080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

480 4TH Ave Ste 409
Chula Vista, CA 91910-4413

Mailing address

8888 E Pinnacle Peak Rd Ste a-4
Scottsdale, AZ 85255-3620
Phone (480) 248-4402

Other names 1

  • South Bay Cancer Center Doing business as

National Provider Directory

National Provider Directory

Locations

8888 E Pinnacle Peak Rd
Ste A4
Scottsdale, AZ 85255

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1265002273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8888 E PINNACLE PEAK RD STE A-4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553620",
            "telephone_number": "480-248-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 409",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104413",
            "telephone_number": "619-425-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID MALIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "RAYHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "619-425-2080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.