Alan Elie Malki, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G43969 Issued in CA

Practice address

2415 Bath St
Santa Barbara, CA 93105-4324

Phone

(805) 687-3744

Fax

(805) 687-6048

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1942231998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD",
            "address_2": "U515",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736109",
            "telephone_number": "805-687-3744",
            "fax_number": "805-687-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054324",
            "telephone_number": "805-687-3744",
            "fax_number": "805-687-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKI",
        "first_name": "ALAN",
        "middle_name": "ELIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G43969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079161",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "ZZZ13778Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "00G439692",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "ZZZ13779Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G439690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Maleky
• Todd Reed Malesich
• Rachel Malfo
• Sanjana Malhotra
• Theresa Harmon Malinowski, AMFT
• Gerald Andres Malovos, DDS
• Nicholas Maly
• Debra J Manchester, MSW
• Sri Phanikanth Mandava, M.D.
• David A Mandel, M.D.

• Specialist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.