NPIMap

Individual provider Active NPI

Justinder Malhotra, MD

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1265767925
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57.016091 Issued in OH
Practice address
741 S Orange Ave
West Covina, CA 91790-2662
Phone
(740) 821-4576
NPI assigned
Oct 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57.016091 OH Primary

Addresses

Primary practice location

741 S Orange Ave
West Covina, CA 91790-2662

Mailing address

741 S Orange Ave
West Covina, CA 91790-2662
Phone (626) 607-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190131002084 CA Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Family Practice 0941425219 Reassigns benefits to 3 organizations
I20231114002547 NV Practitioner - Internal Medicine 0941425219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
ZenmedicineGroup PAC ID 3577800390, 9 clinicians

Practice addresses (Care Compare)

741 S Orange Ave
Suite 100
West Covina, CA 91790-2662
Phone (626) 960-7117

801 S Rancho Dr
Suite B1B
Las Vegas, NV 89106-3871
Phone (702) 490-2398

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24373NVMDPharmacist
57.016091OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Careconnect a Professional Corporation CurrentSince Nov 1, 2025 Accepting new patients
Integrated Wound Care Inc CurrentSince Aug 19, 2025 Accepting new patients
Zenmedicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

706 W Broadway
Ste 201
Glendale, CA 91204
Phone (626) 814-1177

12444 Victory Blvd
Ste 410
North Hollywood, CA 91606
Phone (747) 285-5554

741 S Orange Ave
West Covina, CA 91790
Phone (626) 221-1392

741 S Orange Ave
Ste 100
West Covina, CA 91790
Phone (626) 338-5581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: justinder.malhotra@175.emedpractice.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1265767925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "626-607-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "740-821-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "JUSTINDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.016091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.