Active NPI
James Maliekal, PHARMD
- Pharmacist
- Oakland, CA
National Provider Identifier
1700390028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH44101
- Practice address
- 1221 Broadway Ave
Oakland, CA 94612-9461 - Phone
- (425) 972-4553
- NPI assigned
- Nov 22, 2017
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH44101 | CA | Primary |
Addresses
Primary practice location
1221 Broadway Ave
Oakland, CA 94612-9461
Mailing address
1221 Broadway
Oakland, CA 94612-1837
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH44101 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown & Toland Physicians | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1138.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Oakland, CA
- NPI 1215655717
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1700390028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 BROADWAY AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946129461",
"telephone_number": "425-972-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIEKAL",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH44101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.