Active NPI
Gizi Merasi Malagon, ADAPT PE SPECIALIST
- Specialist
- Cerritos, CA
National Provider Identifier
1386450963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 240032235
- Practice address
- 11331 183Rd St # 1055
Cerritos, CA 90703-5434 - Phone
- (323) 979-6118
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 240032235 | CA | Primary |
| Health Educator | 174H00000X | 240014603 | CA |
Addresses
Primary practice location
11331 183Rd St # 1055
Cerritos, CA 90703-5434
Mailing address
11331 183Rd St # 1055
Cerritos, CA 90703-5434
Phone (323) 979-6118
Other practice location 1
8835 1/2 Dunbar St
Bellflower, CA 90706-4311
Phone (323) 979-6118
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | gizisped.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 240032235 | CA | MD | Specialist |
| 240014603 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1386450963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11331 183RD ST # 1055",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035434",
"telephone_number": "323-979-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11331 183RD ST # 1055",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035434",
"telephone_number": "323-979-6118"
}
],
"practiceLocations": [
{
"address_1": "8835 1/2 Dunbar St",
"address_purpose": "LOCATION",
"city": "Bellflower",
"state": "CA",
"postal_code": "907064311",
"country_code": "US",
"telephone_number": "323-979-6118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALAGON",
"first_name": "GIZI",
"middle_name": "MERASI",
"credential": "ADAPT PE SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "240032235",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "240014603",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "gizisped.com",
"affiliation": "N",
"endpointDescription": "Website",
"address_1": "11331 183rd St # 1055",
"city": "Cerritos",
"state": "CA",
"country_code": "US",
"postal_code": "907035434",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.