Organization Active NPI

Shaun Malek D.D.S.,Inc.

  • Dentist
  • Pasadena, CA
National Provider Identifier
1659588234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36579 Issued in CA
Legal business name
SHAUN MALEK D.D.S.,INC.
Practice address
465 N Lake Ave
Pasadena, CA 91101-1215
Phone
(626) 405-1445
Fax
(626) 405-4830
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shaun MalekNPI 1578684346
Title
President
Phone
(626) 405-1445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36579 CA Primary

Addresses

Primary practice location

465 N Lake Ave
Pasadena, CA 91101-1215

Mailing address

465 N Lake Ave
Pasadena, CA 91101-1215
Phone (626) 405-1445

National Provider Directory

National Provider Directory

Locations

465 N Lake Ave
Pasadena, CA 91101
Phone (626) 405-1445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659588234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011215",
            "telephone_number": "626-405-1445",
            "fax_number": "626-405-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011215",
            "telephone_number": "626-405-1445",
            "fax_number": "626-405-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN MALEK D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-405-1445"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.