Individual provider Active NPI

James Maliekal, PHARMD

  • Pharmacist
  • Oakland, CA
National Provider Identifier
1700390028
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH44101 Issued in CA
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

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH44101CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown & Toland Physicians Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.