IndividualActive
Joel Mallari, NP, CNS
NPI 1407334543 · Critical Care Medicine Clinical Nurse Specialist · San Leandro, CA
Provider details
- NPI number
- 1407334543
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP, CNS
- Sex
- Male
- Sole proprietor
- No
- License
- 95010692 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 Merced St
San Leandro, CA 94577-4201
Phone: (510) 454-2226
Approximate (ZIP-level) locationGet directions
Mailing address
2500 Merced St
San Leandro, CA 94577-4201
Additional practice locations (1)
- 89 Lincoln Blvd Ste 100Lincoln, CA 95648-8096Phone: (916) 543-1593
Registry dates
- Enumerated
- 2018-07-31
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.