Active NPI
Andrew G Malcolm, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
National Provider Identifier
1477504199
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A31071
- Practice address
- 501 Washington St
Ste 510
San Diego, CA 92103-2231 - Phone
- (619) 819-6577
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A31071 | CA | Primary |
Addresses
Primary practice location
501 Washington St
Ste 510
San Diego, CA 92103-2231
Mailing address
8400 Miramar Rd
200
San Diego, CA 92126-4387
Phone (858) 564-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A310710 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A31071 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Affiliates in Imaging, a Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Healthcare Specialists Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| TLC Allergy and Asthma Associates Inc | Past | Accepting new patients | |
| Open Air MRI Centers Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- amalcolm81293@scrippshlth.medalliesdirect.net
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1083608541
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1750498093
-
- Vascular & Interventional Radiology Physician
- San Diego, CA
- NPI 1164475174
Diagnostic Radiology
-
- Allergy & Immunology Physician
- Tustin, CA
- NPI 1003820770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1477504199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 MIRAMAR RD",
"address_2": "200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264387",
"telephone_number": "858-564-1400",
"fax_number": "858-564-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "STE 510",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-819-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOLM",
"first_name": "ANDREW",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A31071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A310710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.