Organization Active NPI

Richard Malotky, MD., Inc.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1285024232
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G54477 Issued in CA
Legal business name
RICHARD MALOTKY, MD., INC.
Practice address
1800 Buenaventura Blvd Ste 200
Redding, CA 96001-3700
Phone
(530) 244-7707
Fax
(530) 244-7196
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Richard A Malotky, M.D.
Title
Owner/M.D.
Phone
(530) 244-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G54477 CA Primary

Addresses

Primary practice location

1800 Buenaventura Blvd Ste 200
Redding, CA 96001-3700

Mailing address

1800 Buenaventura Blvd Ste 200
Redding, CA 96001-3700
Phone (530) 244-7707

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0691678Richard a Malotky MD1800 Buenaventura Blvd Ste 200, Redding, CA 96001Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1285024232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-244-7707",
            "fax_number": "530-244-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-244-7707",
            "fax_number": "530-244-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MALOTKY, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "MALOTKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "530-244-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.