NPIMap

Organization Active NPI

Mall Family Care PA

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1528464138
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P1100 Issued in TX
Legal business name
MALL FAMILY CARE PA
Practice address
13576 Mercedes LN
Frisco, TX 75035-0649
Phone
(714) 598-7578
Fax
(714) 740-5876
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Sanjeev Kumar Mall, MDNPI 1659527331
Title
Owner
Phone
(714) 598-7578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P1100 TX Primary

Addresses

Primary practice location

13576 Mercedes LN
Frisco, TX 75035-0649

Mailing address

13576 Mercedes LN
Frisco, TX 75035-0649
Phone (714) 598-7578

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1528464138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13576 MERCEDES LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350649",
            "telephone_number": "714-598-7578",
            "fax_number": "714-740-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13576 MERCEDES LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350649",
            "telephone_number": "714-598-7578",
            "fax_number": "714-740-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALL FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-598-7578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.