Individual provider Active NPI

Gizi Merasi Malagon, ADAPT PE SPECIALIST

  • Specialist
  • Cerritos, CA
National Provider Identifier
1386450963
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
240032235 Issued in CA
Practice address
11331 183Rd St # 1055
Cerritos, CA 90703-5434
Phone
(323) 979-6118
NPI assigned
Dec 9, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
240032235CAMDSpecialist
240014603CAMDHealth 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.

Verify at the official NPI Registry.