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MALIN MEDICAL, LLC
NPI 1164619821
Family Medicine in Mayer, AZ

Active since September 26, 2007
17301 E SPRING VALLEY RD, MAYER, AZ 86333(928) 632-4909(928) 632-4973 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2020, Jun 11, 2019 (2 updates tracked since 2019).

About Malin Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALIN MEDICAL, LLC (NPI 1164619821) is a healthcare organization registered as a family medicine in Mayer, Arizona and active in the NPI registry since September 2007. The organization lists Kerry D Malin, Provider, as its authorized official.

NPPES Registry Identity

NPI1164619821
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACK CANYON MEDICAL L.L.C.
Location Address17301 E SPRING VALLEY RDMayer, AZ 86333-4263
Mailing Address17301 E Spring Valley Rd Ste FMayer, AZ 86333-4263 · (928) 710-5851 · Fax (928) 632-4973
Phone(928) 632-4909
Fax(928) 632-4973
Organization SubpartNo
Authorized OfficialKerry D MalinProvider · (928) 710-5851
Enumeration DateSeptember 26, 2007
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1164619821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 3297
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17301 E SPRING VALLEY RD, Mayer, AZ 86333
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Other Names 1

Doing Business AsMalin Medical, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLACK CANYON MEDICAL
Allergy & Immunology
17301 E SPRING VALLEY RD, STE F
SPRING VALLEY, AZ 86333
Yavapai County (928) 632-4909

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 Black Canyon Medical L.L.C.'s NPI number?

The NPI number for Black Canyon Medical L.L.C. is 1164619821. It was assigned to this organization in the NPPES registry on September 26, 2007. The provider is doing business as Malin Medical, LLC.

Where is Black Canyon Medical L.L.C. located?

Black Canyon Medical L.L.C. is located at 17301 E Spring Valley Rd, Mayer, AZ 86333. The listed phone number is (928) 632-4909.

What is Black Canyon Medical L.L.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Black Canyon Medical L.L.C. was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.