Justine Colette Maller, MD, PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A139239 Issued in CA

Practice address

700 Welch Rd Ste 301
Palo Alto, CA 94304-1521

Phone

(650) 723-8295

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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

• LPCH Medical Group Div of Lucile

  dba Lucile Salter Packard Children's Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  Pediatrics

  NPD (past)
• Stanford Health Care

  dba Stanford Medical Center A Trade Name for Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1811308448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WELCH RD STE 301",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041521",
            "telephone_number": "650-723-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WELCH RD STE 301",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041521",
            "telephone_number": "650-723-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 W MacArthur Blvd",
            "address_2": "Room 1118",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946115642",
            "country_code": "US",
            "telephone_number": "510-752-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLER",
        "first_name": "JUSTINE",
        "middle_name": "COLETTE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A139239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Malinao, PA-C
• Ritika Malkani, OCCUPATIONAL THERAPI
• Lakshmeeramya Malladi, MD
• Ann Marie Mallari, RN
• Veronica Mallari, MSN-FNP
• Praveena Gopinatha Mallya, DO
• Richard David Mamelok, M.D.
• Tanvi Haresh Mamtora
• Hilda Man
• Janice Y Man, MD

• Pediatrics Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.

Verify at the official NPI Registry.