Malia Ann Kiyomi Honda, M.D., M.S.
Individual provider Active NPI Internal Medicine Physician · Eureka, CA
NPI 1689094989 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1689094989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A139453 (CA)
- Practice address
- 2200 Tydd St
Eureka, CA 95501-1284 - Phone
- (707) 441-1624
- Fax
- (707) 441-1253
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of California, San Francisco School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Planned Parenthood Shasta Diablo Inc
Open Door Community Health Centers
Practice addresses (Care Compare)
2185 Pacheco St
Concord, CA 94520-2309
Phone (925) 676-0505
2200 Tydd St
Eureka, CA 95501-1284
Phone (707) 441-1624
Hospital & facility affiliations
- Providence at Home With Compassus Home Health, Humboldt
- Providence St Joseph Hospital
- Mad River Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170524001294 | CA | Practitioner - Internal Medicine | 5193011633 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139453 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients | |
| Open Door Community Health Centers | Past | Accepting new patients |
Locations
785 18th St
Arcata, CA 95521
Phone (707) 822-2481
1275 8th St
Arcata, CA 95521
3100 Cohasset Rd
Chico, CA 95973
Phone (530) 342-2949
2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300
2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051
670 9th St
Ste 203
McKinleyville, CA 95521
1357 Oakland Ct
Walnut Creek, CA 94596
Phone (925) 935-3010
Interoperability endpoints
- mhonda216910@direct.ochin.org
- malia.hondamd.p1@direct.ppnorcal.nextgenshare.com
- mhonda312516@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A139453 | CA | Yes |
Addresses
Primary practice location
2200 Tydd St
Eureka, CA 95501-1284
Mailing address
670 9TH St Ste 203
Arcata, CA 95521-6249
Phone (707) 826-8633
Other providers in Eureka, CA
- Michael Lynn Holland
- Stephanie Lee Holliday
- Laura Masterson Holmes
- Stephanie Holmes
- Gregory S Holst
- May Chien-Shian Hong
- Romualdo Chaingan Honrado
- Sandra Jo Horner
- Robert Todd Horseman
- Brittney Hosley
All providers in Eureka, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.