Debra Maltenfort, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A93736 Issued in CA

Practice address

627 Baylor St
Pacific Palisades, CA 90272-3302

Phone

(310) 936-7911

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debra Maltenfort Hilleboe Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Debra Maltenfort, MD, Inc.

  • Emergency Medicine Physician
  • Pacific Palisades, CA
  • NPI 1275706335
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1285805374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BAYLOR ST",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723302",
            "telephone_number": "310-936-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BAYLOR ST",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723302",
            "telephone_number": "310-936-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTENFORT",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A93736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "HILLEBOE",
            "middle_name": "MALTENFORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Emergency Medicine Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.