Healthcare Provider Details

I. General information

NPI: 1679242481
Provider Name (Legal Business Name): MALAIKA ALERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 11TH ST
SAN FRANCISCO CA
94103-3732
US

IV. Provider business mailing address

1533 JACKSON ST APT 212
OAKLAND CA
94612-4442
US

V. Phone/Fax

Practice location:
  • Phone: 415-355-0311
  • Fax:
Mailing address:
  • Phone: 202-716-3550
  • Fax: 202-716-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95257408
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95257408
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95029265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: