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MARY GRACE ANTONIETTE MALLARI FNP-C
NPI 1548079130
Nurse Practitioner - Family in Los Angeles, CA

Active since January 07, 2025
1300 N MISSION RD, LOS ANGELES, CA 90033(323) 409-1000 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Grace Antoniette Mallari Fnp-c NPPES

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

MARY GRACE ANTONIETTE MALLARI FNP-C (NPI 1548079130) is an individual family provider in Los Angeles, California, licensed in California (95033235) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1548079130
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY GRACE ANTONIETTE MALLARICredential: FNP-C
Location Address1300 N MISSION RDLos Angeles, CA 90033-1021
Mailing Address22419 Marine AveCarson, CA 90745-4048 · (310) 489-6436
Phone(323) 409-1000
Sole ProprietorYes
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1548079130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95033235
1300 N MISSION RD, Los Angeles, CA 90033
Open in Google Maps ↗

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 20

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

DR. CYNTHIA IRENE AGUILERA MD
Internal Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (213) 747-5542
MARIA G ALVAREZ-ACEVEDO RN
Registered Nurse (Ambulatory Care)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
TIFFANY YU M.D.
Family Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
CHARLES H. ROSALES RN
Registered Nurse (Ambulatory Care)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
REBECCA LEE
Internal Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-6484
HEATHER MEE SOOK WYNNE MD
Family Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
MARK ISAAC LIEBER MD
Internal Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
ANA ISABEL FU
Registered Nurse (Perinatal)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255

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 Mary Grace Antoniette Mallari's NPI number?

The NPI number for Mary Grace Antoniette Mallari is 1548079130. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Mary Grace Antoniette Mallari located?

Mary Grace Antoniette Mallari practices at 1300 N Mission Rd, Los Angeles, CA 90033. The listed phone number is (323) 409-1000.

What is Mary Grace Antoniette Mallari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Grace Antoniette Mallari was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.