Individual provider Active NPI

Giancarlo Malerba, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1336869049
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122855 Issued in GA
Practice address
1447 Colorado Blvd
Los Angeles, CA 90041-2338
Phone
(323) 255-1708
NPI assigned
Sep 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122855 GA Primary

Addresses

Primary practice location

1447 Colorado Blvd
Los Angeles, CA 90041-2338

Mailing address

11058 Chandler Blvd Apt 5071
North Hollywood, CA 91601-5037
Phone (404) 520-6954

Other practice location 1

777 Truman St
San Fernando, CA 91340-3382
Phone (818) 838-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN122855GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elgrichi Harouni Dental Corp CurrentSince Sep 3, 2025 Accepting new patients
Smile Brite Dental PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1336869049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11058 CHANDLER BLVD APT 5071",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015037",
            "telephone_number": "404-520-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412338",
            "telephone_number": "323-255-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Truman St",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913403382",
            "country_code": "US",
            "telephone_number": "818-838-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALERBA",
        "first_name": "GIANCARLO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.