Active NPI
Ezzat Abdelmalek, M.D
- Psychiatry Physician
- Dana Point, CA
National Provider Identifier
1992828826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A31650
- Practice address
- 24952 Beachwalk Way
Dana Point, CA 92629-1911 - Phone
- (949) 248-1273
- Fax
- (949) 248-1852
- NPI assigned
- Apr 7, 2007
- Last updated
- Mar 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A31650 | CA | Primary |
Addresses
Primary practice location
24952 Beachwalk Way
Dana Point, CA 92629-1911
Mailing address
24952 Beachwalk Way
Dana Point, CA 92629-1911
Phone (949) 248-1273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A31650 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1992828826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24952 BEACHWALK WAY",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291911",
"telephone_number": "949-248-1273",
"fax_number": "949-248-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24952 BEACHWALK WAY",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291911",
"telephone_number": "949-248-1273",
"fax_number": "949-248-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELMALEK",
"first_name": "EZZAT",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A31650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dana Point, CA
- 1918 Winter Street Operating Co LLC (Sav-on Pharmacy #2558)
- A Better Life Recovery LLC (A Mission For Michael)
- A Better Life Recovery LLC (A Mission For Michael)
- A Mission for Michael, Inc.
- Eileen Abdollahi, DDS
- Janis E Adams, RN
- Laarnie Santos Adams
- Advanced Dermatology Inc. (Advanced Dermatology of San Clemente Inc)
- Lorraine Perkins Affuso, L.AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.