Individual provider Active NPI

George J Maloof Jr., MD

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1881687499
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43052 Issued in CA
Practice address
1420 Ocotillo Dr
Ste a
El Centro, CA 92243-4213
Phone
(760) 352-3555
Fax
(760) 352-7094
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43052 CA Primary

Addresses

Primary practice location

1420 Ocotillo Dr
Ste a
El Centro, CA 92243-4213

Mailing address

1420 Ocotillo Dr
Ste a
El Centro, CA 92243-4213
Phone (760) 352-3555

Other identifiers 1

IdentifierTypeStateIssuer
00A430520MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071207000802 CA Practitioner - Internal Medicine 6305935784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1420 Ocotillo Dr
Suite a
El Centro, CA 92243-4251
Phone (760) 352-3555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A43052CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George J. Maloof, Jr., M.D., Inc. Internal Medicine CurrentSince Apr 3, 2000 Accepting new patients
Pih Health Whittier Hospital PastSince Apr 3, 2000 Accepting new patients

Locations

1420 Ocotillo Dr
Ste A
El Centro, CA 92243
Phone (760) 352-3555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDBDD/Endpoint/GCDBDD

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.

Hospital & facility affiliations 4

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1881687499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 OCOTILLO DR",
            "address_2": "STE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434213",
            "telephone_number": "760-352-3555",
            "fax_number": "760-352-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 OCOTILLO DR",
            "address_2": "STE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434213",
            "telephone_number": "760-352-3555",
            "fax_number": "760-352-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOOF",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A430520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.