Angela Divya Malhotra, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56018 Issued in CA

Practice address

1107 Ocean St
Santa Cruz, CA 95060-2818

Phone

(831) 600-3260

Fax

(831) 466-9483

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amalhotra@direct.westerndental.com

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.

• Western Dental Services, Inc.

  • General Practice Dentistry
  • Santa Cruz, CA
  • NPI 1063558179
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1437340312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 OCEAN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602818",
            "telephone_number": "831-600-3260",
            "fax_number": "831-466-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 OCEAN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602818",
            "telephone_number": "831-600-3260",
            "fax_number": "831-466-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "ANGELA",
        "middle_name": "DIVYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Christine Major
• Zenowij Majuk, MD
• Delia Maldonado
• Connor Malek, DDS
• Michael A Malek, D.D.S
• Chander P. Malhotra, M.D.
• Jay Warren Malispina
• Victoria Giovanna-Angelina Malispina
• Lorrie Robin Malley, RDHAP
• Edward Drew Malloy, M.D.

• General Practice Dentistry in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.