Individual provider Active NPI

Michael Y Malik, MD

  • Emergency Medicine Physician
  • Lynwood, CA
National Provider Identifier
1295759132
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A69726 Issued in CA
Practice address
3660 E Imperial Hwy
Lynwood, CA 90262-2653
Phone
(310) 608-4898
Fax
(310) 608-4884
NPI assigned
Jul 26, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A69726 CA Primary

Addresses

Primary practice location

3660 E Imperial Hwy
Lynwood, CA 90262-2653

Mailing address

3660 E Imperial Hwy
Lynwood, CA 90262-2653
Phone (310) 608-4898

Other identifiers 1

IdentifierTypeStateIssuer
00A697260MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040422000841 CA Practitioner - Emergency MedicinePractitioner - General Surgery 5395731632 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Plaza Emergency Physicians Group IncGroup PAC ID 7113249947, 10 clinicians
Centinela Freeman Emergency Medical Associates IncGroup PAC ID 0042469108, 19 clinicians

Practice addresses (Care Compare)

13100 Studebaker Rd
Norwalk, CA 90650-2531
Phone (562) 868-3751

555 E Hardy St
Inglewood, CA 90301-4011
Phone (310) 673-4660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
78.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69726CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Park Emergency Physicians, Inc Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Desert Medical Group, Inc. Emergency Medicine CurrentSince Aug 3, 2015 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Apr 29, 2018 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
East la Emergency Physicians, Inc. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Coast Plaza Emergency Physicians Group Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Penelope Velasco MD Past Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

4060 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 224-2040

13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 251-3451

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1295759132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622653",
            "telephone_number": "310-608-4898",
            "fax_number": "310-608-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622653",
            "telephone_number": "310-608-4898",
            "fax_number": "310-608-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MICHAEL",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A69726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A697260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.