DR. ROBERT MALKUS (NPI# 1295731958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295731958 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MALKUS |
| Credential | M.D. |
| Practice Address |
6280 Jackson Dr Ste 8 San Diego CA 92119-3436 |
| Practice Telephone | 6194641607 |
| Practice Fax Number | 6194618662 |
| Mailing Telephone | 6194641607 |
| Mailing Fax Number | 6194618662 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G5666 | CA | Other Service Providers |
| Street Address |
6280 JACKSON DR STE 8 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92119-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337622 | Bissonette, Frey, Greenberg, Greer, Malkus, Springer | Family Medicine | 6280 Jackson Dr, Ste 8, San Diego, CA 92119-3436 | 2005-06-21 |
| 1609368000 | Ashley Rina Fuentes | Nurse Practitioner | 6280 Jackson Dr, San Diego, CA 92119-3434 | 2018-05-31 |
| 1750823514 | Joel Tzinberg | Advanced Practice Dental Therapist | 6280 Jackson Dr, Suite 5, San Diego, CA 92119-3434 | 2016-11-10 |
| 1538441118 | Jonathan Zadok Fung | Dentist | 6280 Jackson Dr, Suite 6, San Diego, CA 92119-3434 | 2011-09-09 |
| 1942497318 | Roy Cass Springer | Family Medicine | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3434 | 2007-10-01 |
| 1568580546 | John C Parker Iv Phd Inc | Psychologist | 6280 Jackson Dr, Ste 7, San Diego, CA 92119-3437 | 2007-03-27 |
| 1467593335 | Bruce V Foerster | Orthopaedic Surgery | 6280 Jackson Dr, Suite 4c, San Diego, CA 92119-3434 | 2007-02-12 |
| 1609912369 | Flora Hyacinth | Chiropractor | 6280 Jackson Dr, Ste. 4c, San Diego, CA 92119-3434 | 2007-01-29 |
| 1164577250 | Sheila Marsh | Family Medicine | 6280 Jackson Dr, Suite 8, San Diego, CA 92119-3434 | 2007-01-25 |
| 1538248059 | Steve J Hernandez | Family Medicine | 6280 Jackson Dr, Ste#8, San Diego, CA 92119-3434 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462565 | Celena Katherine Wheeler | Behavior Technician | 6965 Golfcrest Dr, San Diego, CA 92119 | 2017-12-12 |
| 1932437969 | Halyna Yevgenivna West | Internal Medicine | 6280 Jackson Drive, Suite #8, San Diego, CA 92119 | 2009-12-02 |
| 1346406303 | Marcel T. Bougher, Dds, Inc | Clinic/Center | 6280 Jackson Drive Suite 1, San Diego, CA 92119 | 2008-07-30 |
| 1316163819 | Mark W Christensen | Dentist | 7187 Navajo Rd., Suite A, San Diego, CA 92119 | 2007-04-17 |
| 1154429306 | Zoe Cristina Suciu | Dentist | 7424 Jackson Dr, #6, San Diego, CA 92119 | 2006-09-20 |
| 1255442448 | Ashley Allen Goodman | Dentist | 8736 Lake Murry Blvd, Ste 108, San Diego, CA 92119 | 2006-08-31 |
| 1811006067 | Ashley A Goodman Dds A Professional Corporation | Dentist | 8736 Lake Murray Blvd, Ste 108, San Diego, CA 92119 | 2006-08-30 |
| 1205943495 | Michael Anthony Stefanidis | Dentist | 7424 Jackson Dr #8, San Diego, CA 92119 | 2006-08-24 |
| 1720003056 | Miranda B Williams | Psychologist | 7290 Navajo Rd Ste 105, San Diego, CA 92119 | 2006-07-13 |
| 1003301391 | Allen Chung | Optometrist | 8312 Lake Murray Blvd Ste C, San Diego, CA 92119 | 2018-06-28 |
| Find all providers in zip 92119 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
| 1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
| 1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
| 1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
| 1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
| 1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
| 1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.