Paul Malabanan, MD
Individual provider Active NPI Internal Medicine Physician · North Hills, CA
NPI 1467596940 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1467596940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A50878 (CA)
- Practice address
- 15206 Parthenia St
North Hills, CA 91343-5305 - Phone
- (818) 895-3100
- Fax
- (818) 893-9464
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mission City Community Network, Inc.
Practice addresses (Care Compare)
8527 Sepulveda Blvd
North Hills, CA 91343-5824
Phone (818) 895-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111020000312 | CA | Practitioner - Internal Medicine |
2567634306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current |
Accepting new patients | |
| Mission City Community Network, Inc. | Current |
Accepting new patients | |
| Albeer Ibrahim MD Inc | Past |
Accepting new patients | |
| Mission City Community Network,Inc | Past | Accepting new patients |
Locations
15210 Parthenia St
North Hills, CA 91343
Phone (801) 895-3100
8527 Sepulveda Blvd
North Hills, CA 91343
Phone (310) 926-4865
8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602
15206 Parthenia St
Sepulveda, CA 91343
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A50878 | CA | Yes |
Addresses
Primary practice location
15206 Parthenia St
North Hills, CA 91343-5305
Mailing address
15206 Parthenia St
North Hills, CA 91343-5305
Phone (818) 895-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W11698 | Other | CA | GROUP ID |
| EAP70436F | Medicaid | CA | |
| HAP70436F | Medicaid | CA | |
| FHC70436F | Medicaid | CA |
Other providers in North Hills, CA
- Daniel Anthony Magana
- Maghiran Dental Corp
- Mahdavi Dental Corporation
- Justin Maia
- Gerardo Majewsky
- Isatu Bahati Malekani
- Reza Malekzadeh
- Kristin Rene' Malka
- Antoinette Mangum
- Delia Yamileth Manzanares Quintanilla
All providers in North Hills, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.