Justin E Mallit (NPI# 1801141163, PAC ID# 0648413252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801141163 |
| PAC ID by PECOS | 0648413252 |
| Professional Enrollment ID | I20130829000845 |
| Full Name | Justin E Mallit |
| Organization Legal Name | COASTAL PAIN AND SPINAL DIAGNOSTICS MEDICAL GROUP, INC. |
| Address |
6221 Metropolitan St Suite 201 Carlsbad CA 92009-3096 |
| Phone Number | 7607537127 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3577509132 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050503 | SCRIPPS MEMORIAL HOSPITAL - ENCINITAS |
| Address | Phone | Organization |
|---|---|---|
| 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 | 7607537127 | COASTAL PAIN AND SPINAL DIAGNOSTICS MEDICAL GROUP, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 25% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 95% |
| Organization Legal Name | COASTAL PAIN AND SPINAL DIAGNOSTICS MEDICAL GROUP, INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Giron | Physician Assistant | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Nathan A Miller | Pain Management | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Ankush Bansal | Pain Management | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Yogesh V Patel | Anesthesiology | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Michael J Sebahar | Pain Management | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Andrew Jacob Saurin | Physician Assistant | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Diane Solic | Nurse Practitioner | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Street Address |
6221 METROPOLITAN ST SUITE 201 |
| City | CARLSBAD |
| State | CA |
| Zip | 92009-3096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Depew | Physical Therapy | Gaspar Physical Therapy A Professional Corporation | 6221 Metropolitan St, Suite 101, Carlsbad, CA 92009-3096 |
| Gina M Giron | Physician Assistant | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Nathan A Miller | Pain Management | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Ankush Bansal | Pain Management | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Christopher Spellman | Ophthalmology | 6221 Metropolitan St, Suite 200, Carlsbad, CA 92009-3096 | |
| Ivan D Vicario | Physical Therapy | Gaspar Physical Therapy A Professional Corporation | 6221 Metropolitan St, Suite 101, Carlsbad, CA 92009-3096 |
| Yogesh V Patel | Anesthesiology | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Michael J Sebahar | Pain Management | Coastal Pain and Spinal Diagnostics Medical Group, Inc. | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 |
| Rowena Tam | Physical Therapy | Gaspar Physical Therapy A Professional Corporation | 6221 Metropolitan St, Suite 101, Carlsbad, CA 92009-3096 |
| Brian A Stone | Physical Therapy | Gaspar Physical Therapy A Professional Corporation | 6221 Metropolitan St, Suite 101, Carlsbad, CA 92009-3096 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean J Vayser | Podiatry | 6260 El Camino Real, Fl 1, Carlsbad, CA 92009-1609 | |
| Henry F Showah | Emergency Medicine | 6260 El Camino Real, Carlsbad, CA 92009-1609 | |
| Amy C Aminlari | Emergency Medicine | 6260 El Camino Real, Suite 101, Carlsbad, CA 92009-1609 | |
| Sharon M Slowik | Family Medicine | 6260 El Camino Real, Carlsbad, CA 92009-1609 | |
| Yoo Jin T Chong | Internal Medicine | Well Being Medical Clinic Inc | 6260 El Camino Real, Suite 105, Carlsbad, CA 92009-1609 |
| Maribeth C Chong | Internal Medicine | Well Being Medical Clinic Inc | 6260 El Camino Real, Suite 105, Carlsbad, CA 92009-1609 |
| Cheyenne Summer Smith | Physical Therapy | North Coast Physical Therapy, Inc. | 2704 Gateway Rd, Carlsbad, CA 92009-1730 |
| Jenna N Bradley | Physical Therapy | Arguelles and Hamel Group, Inc. | 2704 Gateway Rd, Carlsbad, CA 92009-1730 |
| Katherine J Witmeyer | Optometry | Carlsbad Optometry | 2653 Gateway Rd, Suite 101, Carlsbad, CA 92009-1758 |
| Lucia E Millet | Optometry | Carlsbad Optometry | 2653 Gateway Rd, Suite 101, Carlsbad, CA 92009-1758 |
| Find all physicians in zip 92009 | |||
| City | CARLSBAD |
| Zip Code | 92009 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CARLSBAD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Justin E Mallit.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.