Individual provider Active NPI

Pamela Kay Maloney, PHD,DHM,LAC

  • Acupuncturist
  • Santa Monica, CA
National Provider Identifier
1649456120
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6054 Issued in CA
Practice address
1514 17TH St Ste 203
Santa Monica, CA 90404-3444
Phone
(310) 453-0286
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6054 CA Primary

Addresses

Primary practice location

1514 17TH St Ste 203
Santa Monica, CA 90404-3444

Mailing address

2101 Ocean Ave Apt 15
Santa Monica, CA 90405-2230
Phone (310) 399-5253

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC6054CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1649456120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 OCEAN AVE APT 15",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052230",
            "telephone_number": "310-399-5253",
            "fax_number": "310-396-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 17TH ST STE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043444",
            "telephone_number": "310-453-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHD,DHM,LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.