Brian John Dungao Malicdem

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3607 Main St
Suite a
Fremont, CA 94538-4390

Phone

(510) 226-6180

NPI assigned

Dec 1, 2008

Last updated

Sep 8, 2016By 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 2

Addresses

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1336394519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 SUMMERDALE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322932",
            "telephone_number": "408-921-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 MAIN ST",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384390",
            "telephone_number": "510-226-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALICDEM",
        "first_name": "BRIAN JOHN",
        "middle_name": "DUNGAO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pompa Chatterjee Malakar, R.N. C.N.S. PMHNP-BC
• Derek Malayeri
• Jessica Maldonado
• June Maldonado, L.V.N
• Floria Malek, MA
• Shahida P. Malik, MD
• Shannon Michelle Malindzak, RN
• Shanti Malladi, OTR
• Barbara Mallard
• Ann Marie Mallat, MD

• Social Worker in Fremont, CA
• Providers in Fremont, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.