Michael Jose Maltez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-BRUTXA Issued in CA

Practice address

4141 Pacific Hwy
San Diego, CA 92110-2030

Phone

(619) 393-2000

NPI assigned

Sep 14, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1992582738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 8656",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "415-913-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 PACIFIC HWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102030",
            "telephone_number": "619-393-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTEZ",
        "first_name": "MICHAEL",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-BRUTXA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Malooly, PHD
• Michelle Malott, MA
• Bryan F. Maltby, MD
• Kayla Erin Maltese, IBCLC
• Samantha Maltese
• Sara Frances Maltzman, PHD
• Rachel Malveaux, CATC I
• Chiara Malvestiti
• Mia Malvestuto, DO
• Betty Joan Maly, M.D.

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.