Individual provider Active NPI

Malabika Kulkarni, M.D.

  • Anesthesiology Physician
  • Redding, CA
National Provider Identifier
1528084175
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A79003 Issued in CA
Practice address
2900 Eureka Way
Redding, CA 96001-0220
Phone
(530) 225-8715
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A79003 CA Primary

Addresses

Primary practice location

2900 Eureka Way
Redding, CA 96001-0220

Mailing address

PO Box 3126
Pinedale, CA 93650-3126
Phone (559) 436-0871

Other identifiers 6

IdentifierTypeStateIssuer
ZZZ21365ZOtherCAPPSC
ZZZ15999ZOtherCAMEMORIAL HOSPITAL
ZZZ21367ZOtherCAEMPIRE SURGERY CENTER
ZZZ34009ZOtherCAMERCY HOSPITAL
ZZZ21366ZOtherCASWSC
ZZZ15998ZOtherCAMERCY SW HOSPITAL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79003CAMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1528084175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3126",
            "city": "PINEDALE",
            "state": "CA",
            "postal_code": "936503126",
            "telephone_number": "559-436-0871",
            "fax_number": "559-436-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010220",
            "telephone_number": "530-225-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "MALABIKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A79003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPSC",
            "identifier": "ZZZ21365Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HOSPITAL",
            "identifier": "ZZZ15999Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE SURGERY CENTER",
            "identifier": "ZZZ21367Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HOSPITAL",
            "identifier": "ZZZ34009Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWSC",
            "identifier": "ZZZ21366Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY SW HOSPITAL",
            "identifier": "ZZZ15998Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.