Dennis R Malkasian, MD PHD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A26001 Issued in CA

Practice address

400 Newport Center Dr
Suite 310
Newport Beach, CA 92660-7601

Phone

(949) 720-1390

Fax

(949) 720-8027

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1447203567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-720-1390",
            "fax_number": "949-720-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-720-1390",
            "fax_number": "949-720-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKASIAN",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A26001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A26001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Make Well
• Amal A Malek
• Manouchehr Malek, M.D.
• Elnaz Malekahmadi
• Anuradha Malik, LPCC 10889
• Katherine L. Malkasian, M.D.
• Maria Malo, LMFT
• Shanna Maloney
• Melissa Mahboobian Mamola, LMFT
• Barbara S Manalis, LCSW LCS6763

• Neurological Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.