Active NPI
Richard Malinick MD Inc
- Orthopaedic Surgery Physician
- San Dimas, CA
National Provider Identifier
1659822773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G52882
- Legal business name
- RICHARD MALINICK MD INC
- Practice address
- 1125 Via Verde
San Dimas, CA 91773-4400 - Phone
- (804) 520-1764
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Malinick, MD
- Title
- Owner
- Phone
- (804) 520-1764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G52882 | CA | Primary |
Addresses
Primary practice location
1125 Via Verde
San Dimas, CA 91773-4400
Mailing address
1125 Via Verde
San Dimas, CA 91773-4400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1659822773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 VIA VERDE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917734400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 VIA VERDE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917734400",
"telephone_number": "804-520-1764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD MALINICK MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "MALINICK",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-520-1764",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G52882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.