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MALLORY DAVID NP
NPI 1639925399
Nurse Practitioner - Family in Moreno Valley, CA

Active since April 24, 2024PECOS EnrolledAccepts Medicare Assignment
23180 HEMLOCK AVE STE 200, MORENO VALLEY, CA 92557(951) 221-3988 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory David Np NPPES

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

MALLORY DAVID NP (NPI 1639925399) is an individual family provider in Moreno Valley, California, licensed in California (95029041) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639925399
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY DAVIDCredential: NP
Location Address23180 HEMLOCK AVE STE 200Moreno Valley, CA 92557-8001
Mailing Address2916 S Del Norte AveOntario, CA 91761-7009 · (323) 304-6237
Phone(951) 221-3988
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 24, 2024
NPPES CertifiedApril 24, 2024
✔ NPI 1639925399 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 · 95029041
23180 HEMLOCK AVE STE 200, Moreno Valley, CA 92557
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mallory David Np 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.

PECOS PAC ID749717619
PECOS Enrollment IDI20241217003270
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92557 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mallory David's NPI number?

The NPI number for Mallory David is 1639925399. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Mallory David located?

Mallory David practices at 23180 Hemlock Ave Ste 200, Moreno Valley, CA 92557. The listed phone number is (951) 221-3988.

What is Mallory David's specialty?

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

Is Mallory David enrolled in Medicare?

Yes. Mallory David 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.

When was this NPI record last updated?

The NPPES record for Mallory David was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.