Organization Active NPI

George J. Maloof, Jr., M.D., Inc.

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1962536581
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43052 Issued in CA
Legal business name
GEORGE J. MALOOF, JR., M.D., INC.
Practice address
1420 Ocotillo Dr Ste a
El Centro, CA 92243-4213
Phone
(760) 352-3555
Fax
(760) 352-7094
NPI assigned
Mar 15, 2007
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
George J Maloof, M.D.NPI 1881687499
Title
President
Phone
(760) 352-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A43052 CA Primary

Addresses

Primary practice location

1420 Ocotillo Dr Ste a
El Centro, CA 92243-4213

Mailing address

1420 Ocotillo Dr Ste a
El Centro, CA 92243-4213
Phone (760) 352-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000810 CA Part B Supplier - Clinic/Group Practice 6204925688 Receives reassigned benefits from 1 practitioner
Practice locations: El Centro, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0572194George J Maloof Jr MD Inc1420 Ocotillo Drive Suite a, El Centro, CA 92243Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1962536581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 OCOTILLO DR STE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434213",
            "telephone_number": "760-352-3555",
            "fax_number": "760-352-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 OCOTILLO DR STE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434213",
            "telephone_number": "760-352-3555",
            "fax_number": "760-352-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J. MALOOF, JR., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-352-3555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.