Teresa R Malone

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

463727 Issued in CA

Practice address

23517 Main St Ste 103
Carson, CA 90745-5234

Phone

(310) 834-5388

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699801100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23034 MISSION DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454953",
            "telephone_number": "310-816-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST STE 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455234",
            "telephone_number": "310-834-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "TERESA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "463727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING CERTIFICATE",
            "identifier": "12886",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "463727",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Mai, LVN
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• Amber Makar, LCSW
• Alexandria Maldonado
• Sean Thomas Malone Sr., RADT
• Mammo Q Plus Inc
• Mamie Mukundi Mandela, NURSE PRACTITIONER
• Kara Manders
• Manio Vision Center, Inc
• Seraphim C Manio, O.D.

• Registered Nurse in Carson, CA
• Providers in Carson, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.