Malvin Devon Anders, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A29436 Issued in CA

Practice address

931 Buena Vista St
Suite 204
Duarte, CA 91010-1712

Phone

(626) 303-7788

Fax

(626) 359-8912

NPI assigned

Jan 25, 2007

Last updated

Aug 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ocular Surgery Medical Associates

  • Ophthalmic Technician/Technologist
  • Duarte, CA
  • NPI 1750501383
  Authorized official Same address or phone
• Ocular Surgery Medical Associates

  • Ophthalmic Technician/Technologist
  • Los Angeles, CA
  • NPI 1790972693
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1891841938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 204",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-303-7788",
            "fax_number": "626-359-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "SUITE 204",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-303-7788",
            "fax_number": "626-359-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "MALVIN",
        "middle_name": "DEVON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A29436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028395",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Family Medical Providers Inc
• Arya Amini, M.D.
• Anatta Counseling Services
• Centura Rohini Anbarasu, MD
• Nancy Marie Andalon, MSW
• Jade Anderson, CRNA
• Trevor Angell, MD
• Regina Angelo-Tarango
• Lauren Antrim
• John Paul Anusavice

• Ophthalmology Physician in Duarte, CA
• Providers in Duarte, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.