Individual provider Active NPI

Malena Outhay

  • Emergency Medicine Physician
  • Oakland, CA
National Provider Identifier
1710418942
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A162504 Issued in CA
Practice address
1411 E 31St St
Qic 22123
Oakland, CA 94602-1018
Phone
(510) 437-4564
NPI assigned
Mar 21, 2017
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A162504 CA Primary

Addresses

Primary practice location

1411 E 31St St
Qic 22123
Oakland, CA 94602-1018

Mailing address

1411 E 31St St
Qic 22123
Oakland, CA 94602-1018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200527000819 CA Practitioner - Emergency Medicine 1355762519 Reassigns benefits to 5 organizations
I20210827000174 TX Practitioner - Emergency Medicine 1355762519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Emergency Physicians Associates San Jose PCGroup PAC ID 8921344292, 131 clinicians

Practice addresses (Care Compare)

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162504CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Oct 8, 2021 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2021 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Jul 8, 2021 Accepting new patients
County of Santa Clara Current Accepting new patients
Alameda Health System CurrentSince Jul 31, 2021 Accepting new patients
Eden Emergency Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
County of Santa Clara CurrentSince Jul 8, 2021 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1411 E 31st St
#22123
Oakland, CA 94602
Phone (510) 437-4564

Dept LA 23811
Pasadena, CA 91185

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Interoperability endpoints

  • Direct secure messaging: mouthay12571@alamedahs.direct-ci.com
  • Direct secure messaging: mouthay177173@santaclaravalley.direct-ci.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1710418942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "address_2": "QIC 22123",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "address_2": "QIC 22123",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018",
            "telephone_number": "510-437-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUTHAY",
        "first_name": "MALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A162504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.