Active NPI
Gil Magtibay Malaluan, D.M.D.
- General Practice Dentistry
- La Puente, CA
National Provider Identifier
1861673873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56570
- Practice address
- 1855 N Hacienda Blvd
La Puente, CA 91744-1125 - Phone
- (626) 917-5980
- NPI assigned
- Nov 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56570 | CA | Primary |
Addresses
Primary practice location
1855 N Hacienda Blvd
La Puente, CA 91744-1125
Mailing address
2600 S Azusa Ave Apt 122
West Covina, CA 91792-1601
Phone (310) 709-1967
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56570 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelly a Parayno DMD Inc | General Practice | Past | Accepting new patients |
| Feld Care Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- La Puente, CA
- NPI 1326190034
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1861673873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S AZUSA AVE APT 122",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921601",
"telephone_number": "310-709-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 N HACIENDA BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441125",
"telephone_number": "626-917-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALALUAN",
"first_name": "GIL",
"middle_name": "MAGTIBAY",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-19",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.