Mario David Maldonado, TBS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

921 W Avenue J
Lancaster, CA 93534-3443

Phone

(661) 949-0131

Fax

(661) 729-8912

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336268713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 15TH ST W SPC 76",
            "city": "ROSAMOND",
            "state": "CA",
            "postal_code": "935607316",
            "telephone_number": "661-256-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343443",
            "telephone_number": "661-949-0131",
            "fax_number": "661-729-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "MARIO",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "TBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00007473",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA DMH PROVIDER",
            "identifier": "CBSC760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luz Clarita Malagon Cisneros
• Ana E. Maldonado
• Jessica Maldonado
• Jose Maldonado
• Karen V Maldonado
• Pauline Marlene Maldonado
• Wilber Ovidio Maldonado
• Jennifer Malechikos, M.S., CCC-SLP
• Frank Malianos
• Parasteh Malihi, DMD

• Mental Health Counselor in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.