MALCOLM ETTIN (NPI# 1699918136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699918136 |
| Entity Type | Individual |
| Full Name | MALCOLM ETTIN |
| Credential | MD |
| Practice Address |
1201 Alhambra Blvd Suite 420 Sacramento CA 95816-5238 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 9167317707 |
| Practice Fax Number | 9167317708 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A32882 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1201 ALHAMBRA BLVD SUITE 420 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439103 | Tyler Elliott Harris | Orthopaedic Surgery | 1201 Alhambra Blvd, Sacramento, CA 95816-5243 | 2005-07-07 |
| 1578192472 | Travis Vermilya Hays | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2020-04-03 |
| 1053940924 | Kate Grayson Meizlish | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2020-04-03 |
| 1871122747 | Soo Kyung Hwang | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2020-04-03 |
| 1427617117 | Jennifer Goldberg | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2019-06-06 |
| 1144711797 | Felicia Tang | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2018-05-18 |
| 1720508401 | Xaunna Jade Krehn | Student in an Organized Health Care Education/Training Program | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2017-06-22 |
| 1962873513 | Sacramento Hand Rehabilitation Inc | Occupational Therapist | 1201 Alhambra Blvd, 410, Sacramento, CA 95816-5238 | 2015-10-08 |
| 1124407275 | Ron Martin Garcia Menorca | Family Medicine | 1201 Alhambra Blvd, Sacramento, CA 95816-5238 | 2015-05-21 |
| 1356784896 | Rick Hong | Family Medicine | 1201 Alhambra Blvd, Suite 340, Sacramento, CA 95816-5238 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373410 | Apoorva Tewari Ramaswamy | Otolaryngology | 2521 Stockton Blvd Suite 7200, Sacramento, CA 95817 | 2015-04-09 |
| 1275760704 | Jonathan N Young | Otolaryngology | 2725 Capitol Ave Dept 404, Sacramento, CA 95816-6032 | 2009-06-11 |
| 1427219278 | David Douglass Nolen | Otolaryngology | 2521 Stockton Blvd Ste 6202, Sacramento, CA 95817-2207 | 2008-06-24 |
| 1730289083 | Denise Sylvie Smart | Otolaryngology | 3401 Pope Ave, Sacramento, CA 95821-3524 | 2006-09-25 |
| 1508869280 | Nancy H Appelblatt | Otolaryngology | 2701 Azalea Rd, Sacramento, CA 95864-4945 | 2005-05-24 |
| 1285637967 | Ernest E Johnson | Otolaryngology | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4300 | 2005-05-24 |
| 1346243011 | David A Evans | Otolaryngology | 1111 Exposition Blvd Ste 700, Sacramento, CA 95815-4335 | 2005-05-24 |
| 1154844637 | Timothy James Phillips | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2017-07-17 |
| 1366828790 | Derrick Randall | Otolaryngology | 2521 Stockton Blvd # 7200, Sacramento, CA 95817-2207 | 2015-08-07 |
| 1780070417 | Joshua Joseph Kain | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2015-04-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.