DOMINIQUE LUCIENNE MALL MD.
NPI 1821043423
Internal Medicine - Nephrology in Mission Hills, CA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
11211 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 365-9531 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominique Lucienne Mall Md. NPPES

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

DOMINIQUE LUCIENNE MALL MD. (NPI 1821043423) is an individual nephrology provider in Mission Hills, California, licensed in California (A86680) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1821043423
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDOMINIQUE LUCIENNE MALLCredential: MD.
Location Address11211 SEPULVEDA BLVDMission Hills, CA 91345-1115
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5637 · Fax (818) 837-5589
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 17, 2012
NPI 1821043423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · A86680
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

11211 SEPULVEDA BLVD, Mission Hills, CA 91345

Other Identifiers 5

Medicare PINZ145955AZ
Medicaid0A8668000CA
Medicare PINGE189ZCA
Medicare PINZ145953AZ
Medicare UPINI12589

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

Dominique Lucienne Mall Md. 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 ID1153395629
PECOS Enrollment IDI20040820000778
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
454 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91345 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Obstetrics & Gynecology)
11211 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Internal Medicine
11211 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Family Medicine
11211 SEPULVEDA BLVD
MISSION HILLS, CA 91345
Nurse Practitioner (Family)
11211 SEPULVEDA BLVD
MISSION HILLS, CA 91345

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 Dominique Mall's NPI number?

The NPI number for Dominique Mall is 1821043423. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Dominique Mall located?

Dominique Mall practices at 11211 Sepulveda Blvd, Mission Hills, CA 91345. The listed phone number is (818) 365-9531.

What is Dominique Mall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dominique Mall enrolled in Medicare?

Yes. Dominique Mall 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 Dominique Mall was last updated on July 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.