Individual provider Active NPI

Harjoth Singh Malli, M.D.

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1992994073
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A97851 Issued in CA
Practice address
202 W Willow Ave Ste 103
Visalia, CA 93291-6238
Phone
(559) 732-0762
Fax
(559) 738-0128
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A97851 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A97851 CA
Pulmonary Disease Physician 207RP1001X A97851 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A97851 CA

Addresses

Primary practice location

202 W Willow Ave Ste 103
Visalia, CA 93291-6238

Mailing address

PO Box 6403
Visalia, CA 93290-6403
Phone (559) 732-0762

Other identifiers 1

IdentifierTypeStateIssuer
AX740WOtherCAMEDICARE PTAN

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
I20081119000546 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0143380246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

202 W Willow Ave
Suite 103
Visalia, CA 93291-6238
Phone (559) 732-0762

Hospital & facility affiliations

  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97851CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Sleep and Pulmonary Care Inc Critical Care Medicine CurrentSince Jul 25, 2011 Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat Critical Care Medicine CurrentSince Feb 6, 2018 Accepting new patients
Sierra Critical Care Medical Group Critical Care Medicine Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine PastSince May 20, 2005 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Central Valley Emergency Medicine PastSince Nov 13, 2024 Accepting new patients

Locations

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 242-6860

202 W Willow Ave
Ste 103
Visalia, CA 93291
Phone (559) 713-1101

1860 S Central St
Ste A
Visalia, CA 93277

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

202 W Willow Ave
Ste 305
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 7

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 5

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1992994073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6403",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932906403",
            "telephone_number": "559-732-0762",
            "fax_number": "559-738-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W WILLOW AVE STE 103",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916238",
            "telephone_number": "559-732-0762",
            "fax_number": "559-738-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLI",
        "first_name": "HARJOTH",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A97851",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A97851",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A97851",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A97851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AX740W",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.