Active NPI
Michael Malki Malki, OD
- Optometrist
- Los Angeles, CA
National Provider Identifier
1699504738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35698
- Practice address
- 1515 N Vermont Ave
6TH Floor Optometry
Los Angeles, CA 90027 - Phone
- (833) 574-2273
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35698 | CA | Primary |
Addresses
Primary practice location
1515 N Vermont Ave
6TH Floor Optometry
Los Angeles, CA 90027
Mailing address
1515 N Vermont Ave
6TH Floor Optometry
Los Angeles, CA 90027
Phone (833) 574-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35698 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1699504738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N VERMONT AVE",
"address_2": "6TH FLOOR OPTOMETRY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "833-574-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N VERMONT AVE",
"address_2": "6TH FLOOR OPTOMETRY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90027",
"telephone_number": "833-574-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKI",
"first_name": "MICHAEL",
"middle_name": "MALKI",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.