Active NPI
Aileen Malijan
- Counselor
- Vallejo, CA
National Provider Identifier
1760908990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 236 Georgia St Ste 101
Vallejo, CA 94590-5962 - Phone
- (707) 654-8875
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
236 Georgia St Ste 101
Vallejo, CA 94590-5962
Mailing address
309 Bedford LN
American Canyon, CA 94503-4113
Phone (707) 334-9073
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1760908990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 BEDFORD LN",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945034113",
"telephone_number": "707-334-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 GEORGIA ST STE 101",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905962",
"telephone_number": "707-654-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIJAN",
"first_name": "AILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.