Chaitanya Lakshmidhar Malladi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A186034 Issued in CA

Practice address

9434 Medical Center Dr
La Jolla, CA 92037-1337

Phone

(858) 657-8530

NPI assigned

Mar 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chatt Malladi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: cmalladi110505@direct.phhs.org

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1568099166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE, MAIL CODE 7411",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "920377411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 MEDICAL CENTER DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371337",
            "telephone_number": "858-657-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLADI",
        "first_name": "CHAITANYA",
        "middle_name": "LAKSHMIDHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A186034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHATT",
            "last_name": "MALLADI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neil Maitra
• Michelle M Majd, DDS
• Ahmed Makhlouf, M.D.
• Mahmoud Malas, M.D.
• Joanne Malinak, MD
• Allan Edward Mallinger, M.D.
• Karla Malloy, M.D., PH.D.
• Malone Facial Plastic Surgery Inc
• Melanie Malone, M.D.
• Jerel Lee Salvador Malong

• Internal Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.