Mark Malit, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15229 Issued in CA

Practice address

11930 Garvey Ave
El Monte, CA 91732-3514

Phone

(626) 448-3149

Fax

(626) 443-4056

NPI assigned

Jun 10, 2015

Last updated

Jun 10, 2015By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kristen Lee OD, a Professional Corporation

  • Optometrist
  • Carson, CA
  • NPI 1023315447
  Medicare reassignment NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1942681424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-448-3149",
            "fax_number": "626-443-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 GARVEY AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323514",
            "telephone_number": "626-448-3149",
            "fax_number": "626-443-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIT",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maher
• Alla Dreicer Mak
• Kristine Malana, MSW
• Meredith Malata
• Angelica Ariana Maldonado, MPAS, PA-C
• Lori Elizabeth Manning
• Mark M. Song M.D., Inc.
• Jonathan Marques, ATC
• Annete Marquez, LVN
• Eugene Jaso Marquez, BS

• Optometrist in El Monte, CA
• Providers in El Monte, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.