Alan E. Malki, M.D. a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G43969 Issued in CA

Legal business name

ALAN E. MALKI, M.D. A PROFESSIONAL CORPORATION

Practice address

2415 Bath St
Santa Barbara, CA 93105-4324

Phone

(805) 687-3744

Fax

(805) 687-6048

NPI assigned

Nov 2, 2007

Last updated

Nov 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna Elaine Dickey

Title

Manager

Phone

(951) 833-6676

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Hartleroad, M.D.

  • Surgery Physician
  • Apple Valley, CA
  • NPI 1336189067
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1942489216",
    "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": {
        "organization_name": "ALAN E. MALKI, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-833-6676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G43969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079160",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul S. Aijian, M.D.
• Natalia Santizo Aimonetti, O.D.
• Patricia Akemann
• Fares Al-Khouja, MD
• Alamar Cosmetic Dentistry
• Alan L. Rosenblum, MD Inc
• Sandra Alaniz
• Natalia Marissa Alarcon
• Ayda Alavi, MD
• Jeanette Alba, SP

• 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 Nov 29, 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.