Active NPI
Fatima T Malik, M.D
- Nephrology Physician
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- C135655
- Practice address
- 8900 Beverly Blvd # 250
West Hollywood, CA 90048-2438 - Phone
- (310) 423-2641
- Fax
- (310) 423-4678
- NPI assigned
- Jan 14, 2009
- Last updated
- Apr 26, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42266 | AZ | |
| Nephrology Physician | 207RN0300X | C135655 | CA | Primary |
| Pediatrics Physician | 208000000X | 42266 | AZ |
Addresses
Primary practice location
8900 Beverly Blvd # 250
West Hollywood, CA 90048-2438
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 967-1780
Other practice location 1
9225 N 3rd St
Suite 300
Phoenix, AZ 85020-2439
Phone (602) 445-0751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464063 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C135655 | CA | MD | Nephrology Physician |
| 42266 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fmalikmd | Nephrology | Current | Accepting new patients |
| Southern California Kidney Consultants Inc. | Nephrology | Current | Accepting new patients |
| Affiliated Hospitalists, PLC | Internal Medicine | Current | Accepting new patients |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Nephrology | Current | Accepting new patients |
| Scottsdale Primary Care, PC | Internal Medicine | Past | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients | |
| UC Regents | Internal Medicine | Past | Accepting new patients |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients |
Locations
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
9225 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 870-1821
9225 N 3rd St
Ste 304
Phoenix, AZ 85020
Phone (602) 997-9614
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
12665 Garden Grove Blvd
Ste 211
Garden Grove, CA 92843
Phone (714) 636-2890
23181 La Cadena Dr
Ste 101
Laguna Hills, CA 92653
Phone (949) 347-5234
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Garden Grove, CA
- NPI 1205934783
-
- Nephrology Physician
- Laguna Hills, CA
- NPI 1205592458
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1184971376
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1447497219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-967-1780",
"fax_number": "866-991-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 BEVERLY BLVD # 250",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900482438",
"telephone_number": "310-423-2641",
"fax_number": "310-423-4678"
}
],
"practiceLocations": [
{
"address_1": "9225 N 3rd St",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850202439",
"country_code": "US",
"telephone_number": "602-445-0751",
"fax_number": "602-424-8128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "FATIMA",
"middle_name": "T",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2022-04-26",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "42266",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "C135655",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "42266",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "464063",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "6041 Cadillac Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900341702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.