Individual provider Active NPI

Huzaifa H Maloo, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1891801825
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49372 Issued in CA
Practice address
5696 Mission Blvd
Riverside, CA 92509-4404
Phone
(951) 369-3344
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49372 CA Primary

Addresses

Primary practice location

5696 Mission Blvd
Riverside, CA 92509-4404

Mailing address

7161 Rockspring LN
Highland, CA 92346-5460
Phone (909) 863-5489

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

State licenses

LicenseStateTypeSpecialty
49372CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maloo - Chicas Professional Dental Corp Current 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, 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1891801825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 ROCKSPRING LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465460",
            "telephone_number": "909-863-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5696 MISSION BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925094404",
            "telephone_number": "951-369-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOO",
        "first_name": "HUZAIFA",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.