Individual provider Active NPI

Ahmed A Malinomar, NON-EMERGENCY MEDICA

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1861901779
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
4265 Fairmount Ave Ste 270
San Diego, CA 92105-1266
Phone
(619) 981-2456
NPI assigned
Sep 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4265 Fairmount Ave Ste 270
San Diego, CA 92105-1266

Mailing address

4265 Fairmount Ave Ste 270
San Diego, CA 92105-1266
Phone (619) 981-2456

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861901779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 FAIRMOUNT AVE STE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051266",
            "telephone_number": "619-981-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 FAIRMOUNT AVE STE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051266",
            "telephone_number": "619-981-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOMAR",
        "first_name": "AHMED",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "NON-EMERGENCY MEDICA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.