Individual provider Active NPI

Mario Albert Malvehy, M.D.

  • Phlebology Physician
  • Pleasanton, CA
National Provider Identifier
1386619054
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
C151670 Issued in CA
Practice address
5700 Stoneridge Mall Rd Ste 120
Pleasanton, CA 94588-2823
Phone
(925) 494-0898
Fax
(925) 201-3424
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME114670 FL
Phlebology Physician 202K00000X C151670 CA Primary
Emergency Medicine Physician 207P00000X ME 114670 FL

Addresses

Primary practice location

5700 Stoneridge Mall Rd Ste 120
Pleasanton, CA 94588-2823

Mailing address

5700 Stoneridge Mall Rd Ste 120
Pleasanton, CA 94588-2823
Phone (925) 494-0898

Other identifiers 2

IdentifierTypeStateIssuer
134R7OtherNCBLUE CROSS
89134R7MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180425001577 CA Practitioner - Emergency MedicinePractitioner - General Practice 7911142427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 Scripps Dr
Suite 220
Sacramento, CA 95825-6300
Phone (916) 282-3159

1074 Murrieta Blvd
Livermore, CA 94550-4111
Phone (925) 443-0980

5700 Stoneridge Mall Rd
Suite 120
Pleasanton, CA 94588-2823
Phone (925) 494-0898

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C151670CAMDPhlebology Physician
ME 114670FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Mario a. Malvehy, M.D., Inc Emergency Medicine CurrentSince Apr 6, 2018 Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Aug 1, 2025 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3201 Danville Blvd
Ste 110
Alamo, CA 94507
Phone (952) 362-0992

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

1074 Murrieta Blvd
Livermore, CA 94550
Phone (925) 277-1300

400 Taylor Blvd
Ste 301
Pleasant Hill, CA 94523
Phone (925) 602-7060

5700 Stoneridge Mall Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 494-0898

5700 Stoneridge Mall Rd
Ste 120
Pleasanton, CA 94588
Phone (925) 460-0681

6155 Stoneridge Dr
Ste 150
Pleasanton, CA 94588
Phone (925) 251-9012

4695 Chabot Dr
Ste 200
Pleasanton, CA 94588
Phone (925) 222-4338

2625 Fair Oaks Blvd
Ste 1
Sacramento, CA 95864
Phone (916) 646-3376

107 Scripps Dr
Ste 220
Sacramento, CA 95825
Phone (916) 282-3159

5601 J St
Sacramento, CA 95819
Phone (916) 454-5922

5201 Norris Canyon Rd
Ste 320
San Ramon, CA 94583
Phone (925) 275-1712

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

355 Lennon Ln
Ste 255
Walnut Creek, CA 94598
Phone (925) 932-7704

Organizations & group practices 4

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1386619054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD STE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882823",
            "telephone_number": "925-494-0898",
            "fax_number": "925-201-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD STE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882823",
            "telephone_number": "925-494-0898",
            "fax_number": "925-201-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVEHY",
        "first_name": "MARIO",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME114670",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "C151670",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 114670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "134R7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134R7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.