Malcolm Medical Group

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

20A5858 Issued in CA

Legal business name

MALCOLM MEDICAL GROUP

Practice address

1150 Scott Blvd Ste D1
Santa Clara, CA 95050-4547

Phone

(408) 246-9915

Fax

(408) 246-0187

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jon M Scott, D.O.NPI 1679655682

Title

Physician

Phone

(408) 246-9915

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon M Scott, D.O.

  • Family Medicine Physician
  • Santa Clara, CA
  • NPI 1679655682
  NPD (past) Authorized official

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1710203245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD STE D1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-246-9915",
            "fax_number": "408-246-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD STE D1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-246-9915",
            "fax_number": "408-246-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-246-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A5858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarkis Makarovich, DNP-FNP
• Erum Makhani, DDS
• Niti Makol, P.T.
• Vinayaka Malakkla, MD
• Ryon Maland, M.D.
• Maritza Maldonado Cisneros
• Amanda Michelle Malech
• Aviva Malek
• Alex Maleti
• Tsunnum Uzma Malik, PHARMD

• Sports Medicine (Family Medicine) Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.