MEGAN M MALZONE (NPI# 1518996412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518996412 |
| Entity Type | Individual |
| Full Name | MEGAN M MALZONE |
| Other Name | MEGAN ELLMAN |
| Credential | MD |
| Practice Address |
931 Oak Park Blvd Ste 101 Pismo Beach CA 93449-3403 |
| Practice Telephone | 8054742600 |
| Practice Fax Number | 8054742607 |
| Mailing Telephone | (805) 474-2600 |
| Mailing Fax Number | 8054892206 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A91250 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | A91250 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CA PIN | 00A912500 | 01 |
| AETNA | 7937812 | 01 | |
| PHCS | 9446736 | 01 | |
| MULTIPLAN | 12448245 | 01 | |
| CA | BLUE CROSS | A91250 | 01 |
| Street Address |
931 OAK PARK BLVD STE 101 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023377637 | Mary A Lowery | Internal Medicine | 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3403 | 2012-05-16 |
| 1194001990 | Marisa Elizabeth Ayers | Physician Assistant | 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3403 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215376496 | First Choice Physician Partners | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2013-06-20 |
| 1023377637 | Mary A Lowery | Internal Medicine | 931 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3403 | 2012-05-16 |
| 1336272871 | Thomas Toan Nguyen | Internal Medicine | 901 Oak Park Blvd Ste 101, Pismo Beach, CA 93449-3409 | 2007-03-13 |
| 1669534236 | Cu Q Nguyen | Internal Medicine | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2006-12-13 |
| 1285732826 | K. George Sachariah | Internal Medicine | 901 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3408 | 2006-09-20 |
| 1528163870 | Phoebe Y Chen | Internal Medicine | 2 James Way, Suite 109, Pismo Beach, CA 93449-4974 | 2006-09-13 |
| 1497857940 | Hinds Medical Group A Professional Corporation | Internal Medicine | 2 James Way, Suite 109, Pismo Beach, CA 93449-4974 | 2006-09-05 |
| 1316957103 | Alice Wallack | Internal Medicine | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3402 | 2006-08-08 |
| 1992738496 | Coastal Village Primary Care | Internal Medicine | 2 James Way, Suite 209, Pismo Beach, CA 93449-4976 | 2006-07-08 |
| 1720061013 | David A. Bernhardt | Internal Medicine | 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 | 2005-11-21 |
| Find all providers in PISMO BEACH | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on MEGAN M MALZONE.
| 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.