Individual provider Active NPI

Reza Malek, MD

  • Vascular & Interventional Radiology Physician
  • Mountain View, CA
National Provider Identifier
1891739348
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G83976 Issued in CA
Practice address
701 E El Camino Real FL 3
Mountain View, CA 94040-2833
Phone
(650) 404-8445
Fax
(650) 404-8447
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G83976 CA Primary

Addresses

Primary practice location

701 E El Camino Real FL 3
Mountain View, CA 94040-2833

Mailing address

2520 Samaritan Dr Ste 104B
San Jose, CA 95124-4106
Phone (408) 645-7800

Other practice location 1

1174 Castro St Ste 200
Mountain View, CA 94040-2569
Phone (408) 645-7800

Other identifiers 1

IdentifierTypeStateIssuer
G83976OtherCAMEDICAL LICENSE

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
I20040714001204 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0143209171 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omnirad Medical Group IncGroup PAC ID 6507049350, 3 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, shared by 16 NPIs, 3,783 clinicians

Practice addresses (Care Compare)

2400 Samaritan Dr
Suite 100
San Jose, CA 95124-3910
Phone (408) 403-5996

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2146

2581 Samaritan Dr
Suite 202
San Jose, CA 95124-4112
Phone (408) 739-6000

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4075

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83976CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Feb 7, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 7, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 7, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 7, 2022 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 11, 2022 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 7, 2022 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Feb 7, 2022 Accepting new patients
County of Santa Clara Past Accepting new patients
Sequoia Health Services Past Accepting new patients
Dignity Health Past Accepting new patients
El Camino Hospital Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
University of California Irvine Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations (25 of 27)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

701 E El Camino Real
Fl 3
Mountain View, CA 94040
Phone (650) 934-7177

1174 Castro St
Ste 200
Mountain View, CA 94040
Phone (408) 645-7800

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

505 Parnassus Ave
Fl 3
San Francisco, CA 94143
Phone (415) 353-9056

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

2581 Samaritan Dr
Ste 202
San Jose, CA 95124
Phone (408) 358-3939

2400 Samaritan Dr
Ste 100
San Jose, CA 95124
Phone (408) 403-5996

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

Interoperability endpoints

  • Direct secure messaging: rmalek125839@santaclaravalley.direct-ci.net

Organizations & group practices 22

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.

View all 22

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1891739348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR STE 104B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244106",
            "telephone_number": "408-645-7800",
            "fax_number": "408-645-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E EL CAMINO REAL FL 3",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402833",
            "telephone_number": "650-404-8445",
            "fax_number": "650-404-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 Castro St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402569",
            "country_code": "US",
            "telephone_number": "408-645-7800",
            "fax_number": "408-645-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALEK",
        "first_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G83976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G83976",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.