John A Mallery in Grass Valley - Cardiovascular Disease
John A Mallery - NPI 1780664201
John A Mallery is a Cardiovascular Disease in Grass Valley, California. John A Mallery practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for John A Mallery is 1780664201. The last update date is 2010-04-22.
John A Mallery's current location address is 150 Catherine Lane, Grass Valley, California. You can contact this provider via phone number 5304778358 and fax number 5304772015. The mailing address for John A Mallery is 150 Catherine Lane, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Mallery |
|---|---|
| Address | 150 Catherine Lane, Grass Valley, California |
| Phone Number | 5304778358 |
| Fax Number | 5304772015 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780664201 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2010-04-22 |
Provider Mailing Address Detail
| Address | 150 Catherine Lane |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 95945 |
| Phone Number | 5304778358 |
| Fax Number | 5304772015 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 00G51106 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0045980 | CA | -- | |
| 00G511061 | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John A Mallery by the Centers for Medicare & Medicaid Services?
The John A Mallery has been assigned the NPI (National Provider Identifier) 1780664201 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where John A Mallery is physically located?
The John A Mallery is physically situated at the following address: 150 Catherine Lane, Grass Valley, CA, 95945.
What is John A Mallery's specialized field of practice, and what is the corresponding taxonomy classification code?
The John A Mallery's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
On what date was the 1780664201 assigned to John A Mallery?
The John A Mallery was issued its 1780664201 on 2006-01-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the John A Mallery's information last updated?
The John A Mallery's information was last updated on 2010-04-22.