Active NPI
Manouchehr Malek, M.D.
- Clinical Medical Laboratory
- Newport Beach, CA
National Provider Identifier
1942486790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- C27205
- Practice address
- 520 Superior Ave Ste 255
Newport Beach, CA 92663-3668 - Phone
- (949) 720-9266
- Fax
- (949) 340-8034
- NPI assigned
- Jan 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | C27205 | CA | Primary |
Addresses
Primary practice location
520 Superior Ave Ste 255
Newport Beach, CA 92663-3668
Mailing address
520 Superior Ave Ste 255
Newport Beach, CA 92663-3668
Phone (949) 720-9266
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C27205 | CA | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1942486790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE STE 255",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633668",
"telephone_number": "949-720-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 SUPERIOR AVE STE 255",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633668",
"telephone_number": "949-720-9266",
"fax_number": "949-340-8034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "MANOUCHEHR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "C27205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.