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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDRE GARDNER MALICDEM JR.
NPI 1376448175
Day Training/Habilitation Specialist in Santa Maria, CA

Active since October 12, 2026
116 AGNES AVE, SANTA MARIA, CA 93458(805) 457-3724 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andre Gardner Malicdem Jr. NPPES

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

ANDRE GARDNER MALICDEM JR. (NPI 1376448175) is an individual day training/habilitation specialist in Santa Maria, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1376448175
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameANDRE GARDNER MALICDEM JR.
Location Address116 AGNES AVESanta Maria, CA 93458-2838
Mailing Address116 Agnes AveSanta Maria, CA 93458-2838 · (805) 457-3724
Phone(805) 457-3724
Sole ProprietorNo
Enumeration DateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1376448175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
116 AGNES AVE, Santa Maria, CA 93458
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Other Providers at the Same Location NPPES 20

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

MS. REBECCA DIANE KOHLE-PATTERSON LMFT
Marriage & Family Therapist
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3724
MARIA DE JESUS NUNEZ BASILIO
Day Training/Habilitation Specialist
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 212-7680
ROMANSA ABAYON
Counselor (Mental Health)
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3780
MATTHEW AARON WARD
Peer Specialist
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3780
JESSICA MARIE DELGADO
Case Manager/Care Coordinator
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3789
ANGELINA NATASHA CARNERO
Day Training/Habilitation Specialist
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3789
MS. MAUREEN THERESA MINA ASW 75589
Social Worker
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3789
SHELLI HAZEL WATSON LPT
Licensed Psychiatric Technician
116 AGNES AVE
SANTA MARIA, CA 93458
Santa Barbara County (805) 457-3724

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 Andre Malicdem's NPI number?

The NPI number for Andre Malicdem is 1376448175. It was assigned to this individual provider in the NPPES registry on October 12, 2026.

Where is Andre Malicdem located?

Andre Malicdem practices at 116 Agnes Ave, Santa Maria, CA 93458. The listed phone number is (805) 457-3724.

What is Andre Malicdem's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Andre Malicdem was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.