Individual provider Active NPI

Ashish Jugalkishor Malpani, MD

  • Student in an Organized Health Care Education/Training Program
  • Jacksonville, FL
National Provider Identifier
1750787818
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
TRN24239 Issued in FL
Practice address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone
(914) 307-6725
NPI assigned
Nov 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A173737 CA
Student in an Organized Health Care Education/Training Program 390200000X TRN24239 FL Primary

Addresses

Primary practice location

655 W 8TH St
Jacksonville, FL 32209-6511

Mailing address

1901 E 1St St
PO Box 467
Newton, KS 67114-0467
IN
Phone (316) 284-6402

Other practice location 1

1150 E Washinton AVE
Reedley, CA 93654-4239
Phone (559) 391-3105

Other practice location 2

841 Prudential Drive, Suite 1130
University of Florida - college of medicine
Jacksonville, FL 32207
Phone (904) 697-3759

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A173737CAMDPediatrics Physician
TRN24239FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1750787818",
    "addresses": [
        {
            "country_code": "IN",
            "country_name": "India",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1901 E 1ST ST",
            "address_2": "PO BOX 467",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-284-6402",
            "fax_number": "316-284-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "914-307-6725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 E Washinton AVE",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936544239",
            "country_code": "US",
            "telephone_number": "559-391-3105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Prudential Drive, Suite 1130",
            "address_2": "University of Florida - college of medicine",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32207",
            "country_code": "US",
            "telephone_number": "904-697-3759",
            "fax_number": "914-679-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALPANI",
        "first_name": "ASHISH",
        "middle_name": "JUGALKISHOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A173737",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN24239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.