Individual provider Active NPI

Ashish Malhotra, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1679583744
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A91216 Issued in CA
Practice address
19341 Bear Valley Rd
Suite 101
Apple Valley, CA 92308
Phone
(760) 810-7778
Fax
(760) 810-7780
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A91216 CA
Family Medicine Physician 207Q00000X A91216 CA Primary

Addresses

Primary practice location

19341 Bear Valley Rd
Suite 101
Apple Valley, CA 92308

Mailing address

19341 Bear Valley Rd
Suite 101
Apple Valley, CA 92308-5151
Phone (760) 810-7778

Other practice location 1

8237 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730-0717
Phone (909) 477-3310

Other identifiers 1

IdentifierTypeStateIssuer
A91216OtherCAMEDICAL LICENSE

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
I20070726000253 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 4880655083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19341 Bear Valley Rd
Suite 101
Apple Valley, CA 92308-5152
Phone (760) 810-7778

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Primary Medical Inc Geriatric Medicine CurrentSince Aug 1, 2011 Accepting new patients
GN Medical Associates, Inc. Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients
Chino Medical Group, Inc Family Medicine Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
McLaren Lapeer Region Past Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Caremore Medical Group Inc Family Medicine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

18112 US Highway 18
Apple Valley, CA 92307
Phone (760) 946-2020

19341 Bear Valley Rd
Ste 101
Apple Valley, CA 92308
Phone (760) 810-7778

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

8237 Rochester Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 477-3310

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Bernardine Hospice Care IncIrvine, CA, CCN A01528 Hospice Contracted Managing Employee Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1679583744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085151",
            "telephone_number": "760-810-7778",
            "fax_number": "760-810-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92308",
            "telephone_number": "760-810-7778",
            "fax_number": "760-810-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8237 Rochester Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300717",
            "country_code": "US",
            "telephone_number": "909-477-3310",
            "fax_number": "909-477-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "ASHISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A91216",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A91216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.