Individual provider Active NPI

Menyoli Michael Malafa, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Los Angeles, CA
National Provider Identifier
1972895027
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
A149588 Issued in CA
Practice address
1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476
Phone
(323) 264-7600
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X A149588 CA
Orthopaedic Hand Surgery Physician 207XS0106X A149588 CA
Plastic and Reconstructive Surgery Physician 2086S0122X A149588 CA
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X A149588 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476

Mailing address

1700 E Cesar E Chavez Ave Ste 2200
Los Angeles, CA 90033-2476
Phone (323) 264-7600

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621003091 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7911275615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of South Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 2200
Los Angeles, CA 90033-2476
Phone (323) 264-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149588CAMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J. Pelton MD, Inc. Hand Surgery CurrentSince Oct 1, 2018 Accepting new patients
Kevin J Pelton MD Inc CurrentSince Oct 1, 2018 Accepting new patients
The Regents of the University of California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Kevin J. Pelton MD, Inc. Hand Surgery Past Accepting new patients

Locations

16530 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 317-8408

1127 Wilshire Blvd
Ste 408
Los Angeles, CA 90017
Phone (213) 482-2460

1700 E Cesar E Chavez Ave
Ste 2200
Los Angeles, CA 90033
Phone (323) 264-7600

101 E Beverly Blvd
Ste 205
Montebello, CA 90640
Phone (323) 724-6663

23502 Lyons Ave
Ste 202A
Santa Clarita, CA 91321
Phone (661) 222-9030

18840 Ventura Blvd
#208
Tarzana, CA 91356

18840 Ventura Blvd
Ste 204
Tarzana, CA 91356
Phone (818) 708-3333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1972895027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332476",
            "telephone_number": "323-264-7600",
            "fax_number": "323-261-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332476",
            "telephone_number": "323-264-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAFA",
        "first_name": "MENYOLI",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A149588",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A149588",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A149588",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A149588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.