Organization Active NPI

Ariel Malamud, a Medical Corporation

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1366694747
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ARIEL MALAMUD, A MEDICAL CORPORATION
Practice address
1513 S Grand Ave
Suite 330
Los Angeles, CA 90015-3070
Phone
(213) 440-2040
Fax
(213) 234-4516
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Silvia Malamud
Title
Practice Manager
Phone
(213) 440-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1513 S Grand Ave
Suite 330
Los Angeles, CA 90015-3070

Mailing address

1513 S Grand Ave
Suite 330
Los Angeles, CA 90015-3070
Phone (213) 440-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110715000059 CA Part B Supplier - Clinic/Group Practice 7911175005 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA; South El Monte, CA; Monterey Park, CA

National Provider Directory

National Provider Directory

Locations

201 S Alvarado St
Ste 803
Los Angeles, CA 90057
Phone (213) 413-5663

2200 W 7th St
Los Angeles, CA 90057
Phone (213) 384-3434

1513 S Grand Ave
Ste 330
Los Angeles, CA 90015
Phone (213) 440-2040

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1366694747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "SUITE 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153070",
            "telephone_number": "213-440-2040",
            "fax_number": "213-234-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "SUITE 330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153070",
            "telephone_number": "213-440-2040",
            "fax_number": "213-234-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL MALAMUD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "MALAMUD",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "213-440-2040"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "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 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.