Active NPI
Ansar Mahmood Malik, MBBS
- Psychiatry Physician
- Ontario, CA
National Provider Identifier
1740636703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2014118
- Practice address
- 3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661 - Phone
- (310) 254-9397
- NPI assigned
- May 9, 2016
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2014118 | CA | Primary |
Addresses
Primary practice location
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Mailing address
440 Barranca Ave # 7860
Covina, CA 91723
Phone (612) 206-5090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014118 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1740636703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 BARRANCA AVE # 7860",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "612-206-5090",
"fax_number": "310-356-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 E GUASTI RD STE 100",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618661",
"telephone_number": "310-254-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "ANSAR",
"middle_name": "MAHMOOD",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "2014118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.