NESSRIEN WAGUIH MALAK
NPI 1013792951
Nurse Practitioner - Family in Glendale, CA
About Nessrien Waguih Malak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NESSRIEN WAGUIH MALAK (NPI 1013792951) is an individual family provider in Glendale, California, licensed in California (95025018) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nessrien Waguih Malak is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nessrien Malak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90031
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: St. John's Community Health
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nessrien Malak's NPI number?
The NPI number for Nessrien Malak is 1013792951. It was assigned to this individual provider in the NPPES registry on August 29, 2023.
Where is Nessrien Malak located?
Nessrien Malak practices at 3340 Honolulu Ave Apt 6, Glendale, CA 91214. The listed phone number is (562) 507-6012.
What is Nessrien Malak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nessrien Malak enrolled in Medicare?
Yes. Nessrien Malak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nessrien Malak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nessrien Malak reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nessrien Malak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nessrien Malak was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nessrien Waguih Malak · NPI 1013792951
Family physician in Glendale, California. Individual provider, active in the CMS NPPES registry since August 29, 2023.
## Identity
- **NPI:** 1013792951 (Entity type: Individual)
- **Enumerated:** August 29, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95025018 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3340 HONOLULU AVE APT 6, Glendale, CA 91214-4110
- **Phone:** (562) 507-6012
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Johns Community Health (NPI 1932249505, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 29, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1013792951) · Data from the CMS NPPES public registry.