Individual provider Active NPI

Frances Abigail Perez Malantic, NP

  • Family Nurse Practitioner
  • Hawaiian Gardens, CA
National Provider Identifier
1780018960
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23561 Issued in CA
Practice address
12131 Carson St
Hawaiian Gardens, CA 90716-1154
Phone
(562) 809-0299
NPI assigned
Aug 24, 2013
Last updated
Mar 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23561 CA Primary

Addresses

Primary practice location

12131 Carson St
Hawaiian Gardens, CA 90716-1154

Mailing address

12131 Carson St
Hawaiian Gardens, CA 90716-1154
Phone (562) 809-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805001355 CA Practitioner - Nurse Practitioner 5799902383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4401 Atlantic Ave
Suite 202
Long Beach, CA 90807-2252
Phone (562) 988-2777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
23561CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Reproductive Health Care Center CurrentSince May 14, 2014 Accepting new patients
Reproductive Health Care Center CurrentSince May 14, 2014 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Sep 8, 2025 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Mar 18, 2021 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients

Locations

501 S Brookhurst Rd
Fullerton, CA 92833
Phone (714) 870-0717

4401 Atlantic Ave
Ste 202
Long Beach, CA 90807
Phone (562) 988-2777

5122 Katella Ave
Ste 308
Los Alamitos, CA 90720
Phone (562) 594-8555

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1780018960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161154",
            "telephone_number": "562-809-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161154",
            "telephone_number": "562-809-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANTIC",
        "first_name": "FRANCES ABIGAIL",
        "middle_name": "PEREZ",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-24",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

Verify at the official NPI Registry.