Individual provider Active NPI

Natalya G Malley, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1629019930
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52534 Issued in CA
Practice address
7355 N Palm Ave Ste 100
Fresno, CA 93711-5770
Phone
(559) 271-6300
Fax
(559) 271-6326
NPI assigned
Jun 9, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52534 CA Primary

Addresses

Primary practice location

7355 N Palm Ave Ste 100
Fresno, CA 93711-5770

Mailing address

PO Box 28949
Fresno, CA 93729-8949
Phone (559) 228-4200

Other practice location 1

4770 W Herndon Ave
Fresno, CA 93722-8402
Phone (559) 271-6365

Other identifiers 2

IdentifierTypeStateIssuer
110119991OtherMEDICARE RR
00A525340MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000494 CA Practitioner - Internal Medicine 4284707886 Reassigns benefits to 2 organizations
Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7355 N Palm Ave
Suite 100
Fresno, CA 93711-5770
Phone (559) 271-6300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52534CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc Internal Medicine CurrentSince Sep 21, 2015 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883

3510 E Shields Ave
Fresno, CA 93726
Phone (559) 222-4807

4770 W Herndon Ave
Fresno, CA 93722
Phone (559) 271-6300

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

7355 N Palm Ave
Ste 100
Fresno, CA 93711
Phone (559) 271-6300

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1629019930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28949",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298949",
            "telephone_number": "559-228-4200",
            "fax_number": "559-224-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N PALM AVE STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115770",
            "telephone_number": "559-271-6300",
            "fax_number": "559-271-6326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937228402",
            "country_code": "US",
            "telephone_number": "559-271-6365",
            "fax_number": "559-271-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "NATALYA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110119991",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A525340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.