NPIMap

Individual provider Active NPI

Malia Ann Kiyomi Honda, M.D., M.S.

  • Internal Medicine Physician
  • Eureka, CA
National Provider Identifier
1689094989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A139453 Issued in CA
Practice address
2200 Tydd St
Eureka, CA 95501-1284
Phone
(707) 441-1624
Fax
(707) 441-1253
NPI assigned
Apr 24, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A139453 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524001294 CA Practitioner - Internal Medicine 5193011633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139453CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Shasta Diablo Inc CurrentSince Aug 10, 2024 Accepting new patients
Open Door Community Health Centers CurrentSince Sep 18, 2017 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Planned Parenthood Shasta Diablo Inc CurrentSince Aug 10, 2024 Accepting new patients
Open Door Community Health Centers CurrentSince Sep 18, 2017 Accepting new patients
Planned Parenthood Shasta Diablo Inc Current Accepting new patients
Open Door Community Health Centers Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

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) 441-1624

670 9th St
Ste 203
McKinleyville, CA 95521

1357 Oakland Ct
Walnut Creek, CA 94596
Phone (925) 935-3010

Interoperability endpoints

  • Direct secure messaging: malia.hondamd.p1@direct.ppnorcal.nextgenshare.com
  • Direct secure messaging: mhonda216910@direct.ochin.org
  • Direct secure messaging: mhonda312516@direct.ochin.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689094989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST STE 203",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216249",
            "telephone_number": "707-826-8633",
            "fax_number": "707-826-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 TYDD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011284",
            "telephone_number": "707-441-1624",
            "fax_number": "707-441-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDA",
        "first_name": "MALIA",
        "middle_name": "ANN KIYOMI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A139453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.