Anil D Mall, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A60590 Issued in CA

Practice address

1023 S Mount Vernon Ave Ste a
Colton, CA 92324-4202

Phone

(909) 533-4443

Fax

(909) 533-4483

NPI assigned

Jul 24, 2006

Last updated

Sep 9, 2021By the provider in NPPES

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

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Above and Beyond Hospice Care Hospice, Chino, CA, CCN 921780

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: anil.mall.1@1319.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1319/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• RDM Forever, LLC

  dba Above and Beyond Hospice Care

  • Community Based Hospice Care Agency
  • Chino, CA
  • NPI 1396118568

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Park Sierra Medical Clinic Inc

  • Clinic/Center
  • Colton, CA
  • NPI 1184833428
  Medicare reassignment Authorized official
• RDM Forever, LLC

  dba Above and Beyond Hospice Care

  • Community Based Hospice Care Agency
  • Chino, CA
  • NPI 1396118568

  Family Medicine

  NPD
• California Care Level Management Direct Medical Group, Inc

  • General Practice Physician
  • Woodland Hills, CA
  • NPI 1659357341
  NPD (past)
• Riverside Healthcare System, L.P.

  dba Riverside Community Hospital

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)
• St John Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Colton, CA
  • NPI 1720359151
  NPD (past)

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

• RDM Forever, LLC

  dba Above and Beyond Hospice Care

  • Community Based Hospice Care Agency
  • Chino, CA
  • NPI 1396118568
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1285656900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 S MOUNT VERNON AVE STE A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244202",
            "telephone_number": "909-533-4443",
            "fax_number": "951-533-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 S MOUNT VERNON AVE STE A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244202",
            "telephone_number": "909-533-4443",
            "fax_number": "909-533-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALL",
        "first_name": "ANIL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Leah Malekmehr
• Norman Maletsky
• Sara Malik, MS
• Yousaf Iftikhar Malik, MD
• Aldin Malkoc, MD
• Claire Elizabeth Malley, MD
• Mallu Reddy, MD, Inc (Reddy Care Medical Colton)
• Jessica Lee Malstrom
• Marko Michael Mamic, D.O.
• Benjamin Morales Manacop III

• Family Medicine Physician in Colton, CA
• Providers in Colton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.