Individual provider Active NPI

Shahira Shafik Abdel-Malek, MD

  • Pediatrics Physician
  • Huntington Park, CA
National Provider Identifier
1295832277
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A36609 Issued in CA
Practice address
3100 E Florence Ave
#1
Huntington Park, CA 90255-5848
Phone
(323) 583-4115
Fax
(323) 584-9089
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A36609 CA Primary

Addresses

Primary practice location

3100 E Florence Ave
#1
Huntington Park, CA 90255-5848

Mailing address

3100 E Florence Ave
#1
Huntington Park, CA 90255-5848
Phone (323) 583-4115

Other names 1

  • Dr. Shahira S Malek Professional name

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
I20071129000730 CA Practitioner - General PracticePractitioner - Pediatric Medicine 6305935222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3100 E Florence Ave
Suite 1
Huntington Park, CA 90255-5848
Phone (323) 583-4115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36609CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Eladh, LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1295832277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "#1",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-4115",
            "fax_number": "323-584-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "#1",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-4115",
            "fax_number": "323-584-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-MALEK",
        "first_name": "SHAHIRA",
        "middle_name": "SHAFIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A36609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHIRA",
            "last_name": "MALEK",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.