DR. KEVIN ANTHONY MALONE (NPI# 1053389361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053389361 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ANTHONY MALONE |
| Credential | MD, MBA |
| Practice Address |
1415 Ridgeback Rd Suite # 4 Chula Vista CA 91910-6932 |
| Practice Telephone | 6194216913 |
| Practice Fax Number | 6194216913 |
| Mailing Telephone | 6194216913 |
| Mailing Fax Number | 6194216913 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G46053 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G460530 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003082488 | Kevin Paul Malone | Podiatrist | 1715 E 95th St, Chicago, IL 60617-4708 | 2008-05-05 |
| 1578668075 | Kevin C Malone | Physical Therapist | 23745 225th Way Se, Suite 215, Maple Valley, WA 98038-5294 | 2006-09-13 |
| 1659397685 | Kevin John Malone | Chiropractor | 123e F St H, Wilmington, CA 90744-5817 | 2006-07-14 |
| 1851623128 | Kevin Malone | Pharmacist | 20 Merrick Rd, Amityville, NY 11701-3455 | 2010-02-11 |
| 1164668992 | Kevin Malone | Case Manager/Care Coordinator | 2650 W Broadway, Louisville, KY 40211-1333 | 2008-12-29 |
| 1336330125 | Kevin Darrell Malone | Chiropractor | 502 W Main St, Smithville, TN 37166-1118 | 2007-08-06 |
| 1881794691 | Kevin James Malone | Orthopaedic Surgery | 2500 Metrohealth Dr, Department of Orthopaedic Surgery, Cleveland, OH 44109-1900 | 2006-09-22 |
| 1154331411 | Kevin D Malone | Surgery | 1104 W Evergreen Ave, Effingham, IL 62401-1710 | 2006-08-09 |
| 1578502241 | Kevin Michael Malone | Anesthesiology | 700 Melvin Ave, Suite 7a, Annapolis, MD 21401-1514 | 2006-06-06 |
| 1285691204 | Kevin Malone | Orthopaedic Surgery | 10 Research Pl, Suite 203, North Chelmsford, MA 01863-2439 | 2006-04-26 |
| Street Address |
1415 RIDGEBACK RD SUITE # 4 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-6932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584963 | D. Young Pham | Dentist | 1415 Ridgeback Rd, Suite 23, Chula Vista, CA 91910-6932 | 2005-08-10 |
| 1053865204 | Sleep Data Holdings LLC | Durable Medical Equipment & Medical Supplies | 1415 Ridgeback Rd, Ste 1, Chula Vista, CA 91910-6932 | 2016-08-04 |
| 1336452168 | Michael M West | Dentist | 1415 Ridgeback Rd, Chula Vista, CA 91910-6932 | 2010-07-21 |
| 1215052105 | Alfredo De Alba | Dentist | 1415 Ridgeback Rd, Suite 3, Chula Vista, CA 91910-6932 | 2007-03-20 |
| 1649395575 | Christopher Cruz | Dentist | 1415 Ridgeback Rd, Suite 3, Chula Vista, CA 91910-6932 | 2007-03-20 |
| 1336292945 | Aldo Mauricio Espinosa | Dentist | 1415 Ridgeback Rd, Ste 26, Chula Vista, CA 91910-6932 | 2007-01-18 |
| 1538223813 | Family & Preventive Medical Center of Chula Vista A Medical Corporatio | Family Medicine | 1415 Ridgeback Rd, #4, Chula Vista, CA 91910-6932 | 2006-12-20 |
| 1629143292 | Bernabo & Hogan Psychological Corp. | Psychologist | 1415 Ridgeback Rd, Suite 2, Chula Vista, CA 91910-6932 | 2006-11-21 |
| 1114028032 | Yuri Kaneda | Dentist | 1415 Ridgeback Rd, Suite 24, Chula Vista, CA 91910-6932 | 2006-09-25 |
| 1881688000 | Charles Alvin Hogan | Psychologist | 1415 Ridgeback Rd, Chula Vista, CA 91910-6932 | 2005-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588197826 | Miguel Alvarez-estrada | Family Medicine | 480 Fourth Ave Ste 403, Chula Vista, CA 91910-4413 | 2017-04-04 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| 1285088013 | Yelennia Palacios | Family Medicine | 480 4th Ave Ste 403, Chula Vista, CA 91910-4413 | 2016-04-18 |
| 1437554979 | Martin Kabongo, M.d., Apc | Family Medicine | 1040 Tierra Del Rey Ste 107, Chula Vista, CA 91910-7865 | 2014-10-27 |
| 1396167813 | Mohammed K Elsayed A Proffesional Corporation | Family Medicine | 330 Oxford St Ste 106, Chula Vista, CA 91911-3118 | 2014-01-17 |
| 1760702237 | Jean Rizkallah, Md, Inc | Family Medicine | 450 Fourth Ave., Ste 408, Chula Vista, CA 91910-4430 | 2010-06-08 |
| 1174841936 | Jean Rizkallah, Md | Family Medicine | 450 Fouth Ave, Ste 407, Chula Vista, CA 91910-0000 | 2010-05-04 |
| 1033341409 | Andrew J Pasetti | Family Medicine | 644 Naples Street, Toc Chula Vista, Chula Vista, CA 91911 | 2009-08-18 |
| 1831328616 | Marina Udowenko | Family Medicine | 450 Fourth Ave Ste 408, Chula Vista, CA 91910-4430 | 2009-07-14 |
| 1982840518 | Rebecca Smith, Md, Medical Corporation | Family Medicine | 272 Salinas Dr Unit 165, Chula Vista, CA 91914-0444 | 2009-01-03 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.