Individual provider Active NPI

Richard Arden Malotky, MD

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1881774362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00G544770 Issued in CA
Practice address
2510 Airpark Drive
Suite 106
Redding, CA 96001-2461
Phone
(530) 244-7707
Fax
(530) 244-7196
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00G544770 CA Primary

Addresses

Primary practice location

2510 Airpark Drive
Suite 106
Redding, CA 96001-2461

Mailing address

2510 Airpark Drive
Suite 106
Redding, CA 96001-2461
Phone (530) 244-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 4, 2012 through Dec 4, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54477CAMDPharmacist
00G544770CAMDFamily Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881774362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DRIVE",
            "address_2": "SUITE 106",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-7707",
            "fax_number": "530-244-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DRIVE",
            "address_2": "SUITE 106",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-7707",
            "fax_number": "530-244-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTKY",
        "first_name": "RICHARD",
        "middle_name": "ARDEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00G544770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.