Active NPI
Iqtadar Malik
- Pharmacist
- Long Beach, CA
National Provider Identifier
1720528813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44069
- Practice address
- 1890 Ximeno Ave
1890 Ximeno Ave
Long Beach, CA 90815-2849 - Phone
- (562) 597-6520
- NPI assigned
- Mar 8, 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 | 44069 | CA | Primary |
Addresses
Primary practice location
1890 Ximeno Ave
1890 Ximeno Ave
Long Beach, CA 90815-2849
Mailing address
1890 Ximeno Ave
Long Beach, CA 90815-2849
Phone (562) 597-6520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44069 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1720528813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 XIMENO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152849",
"telephone_number": "562-597-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 XIMENO AVE",
"address_2": "1890 XIMENO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908152849",
"telephone_number": "562-597-6520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "IQTADAR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "44069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.