Organization Active NPI

Sabita Malla MD Inc

  • Primary Care Clinic/Center
  • Santa Clarita, CA
National Provider Identifier
1689816597
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A90206 Issued in CA
Legal business name
SABITA MALLA MD INC
Doing business as
Sabita Malla MD Inc
Practice address
23928 Lyons Ave Ste 202
Santa Clarita, CA 91321-2454
Phone
(661) 799-7007
Fax
(661) 799-7215
NPI assigned
Mar 25, 2009
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Sabita Malla, MDNPI 1962571216
Title
President
Phone
(661) 799-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A90206 CA Primary

Addresses

Primary practice location

23928 Lyons Ave Ste 202
Santa Clarita, CA 91321-2454

Mailing address

23928 Lyons Ave Ste 202
Santa Clarita, CA 91321-2454
Phone (661) 799-7007

Other names 1

  • Sabita Malla MD Inc Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2004883Sabita Malla, MD, Inc23928 Lyons Ave Ste 202, Santa Clarita, CA 91321Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

23206 Lyons Ave
Ste 105
Santa Clarita, CA 91321
Phone (661) 288-0081

23928 Lyons Ave
Ste 202
Santa Clarita, CA 91321
Phone (661) 254-2777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1689816597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE STE 202",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212454",
            "telephone_number": "661-799-7007",
            "fax_number": "661-799-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE STE 202",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212454",
            "telephone_number": "661-799-7007",
            "fax_number": "661-799-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABITA MALLA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MALLA",
        "authorized_official_first_name": "SABITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-799-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A90206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabita Malla MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.