JAY CHANAN MALL M.D. NPI 1629016050

NPI Information

NPI: 1629016050
Provider Name: JAY CHANAN MALL, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3700 CALIFORNIA ST
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 750-6025
Get Directions

Jay Chanan Mall, M.D. is a diagnostic radiology radiology in San Francisco, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jay Chanan Mall, M.D. NPI is 1629016050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3700 CALIFORNIA ST
SAN FRANCISCO, CA
ZIP 94118-618
Phone: (415) 750-6025

The enumeration date for this NPI number is 6/4/2006 and was last updated on 8/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	G22517	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G225172	MEDICARE PIN	CALIFORNIA
2	300130339	OTHER	CALIFORNIA	RAILROAD MEDICARE
3	A41611	MEDICARE UPIN	CALIFORNIA
4	00G225174	MEDICARE PIN	CALIFORNIA
5	00G225170	MEDICARE PIN	CALIFORNIA
6	00G225173	MEDICARE PIN	CALIFORNIA
7	00G225170	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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