Cheyanne Mallas, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1076908 Issued in CA

Practice address

950 N Kings Rd
Suite 221
West Hollywood, CA 90069-4352

Phone

(917) 478-3405

NPI assigned

Oct 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1750570255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KINGS RD",
            "address_2": "SUITE 221",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694352",
            "telephone_number": "917-478-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KINGS RD",
            "address_2": "SUITE 221",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694352",
            "telephone_number": "917-478-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAS",
        "first_name": "CHEYANNE",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "1076908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Wei-Lin Malatt, M.D.
• Veshal Malhotra, DO
• Fatima T Malik, M.D
• Celine Malilay, DPT
• Yervant Malkhasian
• William Christopher Mallon, MD
• Tina Maluso, NP
• Mikah Maly-Karros, AMFT
• Yakov Moshe Mamzhi, MD
• Diku Mandavia, M.D.

• Surgical Physician Assistant in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.