Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568733996 Deactivated / Inactive NPI Male Practitioner

Dr. Jay S Malkoff , MD

General Practice • Poway, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Malkoff has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2012
NPI Deactivation Date May 30, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Malkoff, MD was a registered General Practice practicing in Poway, CA. Throughout an active medical career spanning 7 years, Dr. Malkoff provided care at the practice location at 12625 STOWE DR until profile deactivation on 2019-05-30.

Practice Location & Contact Primary Location

Practice Address

12625 Stowe Dr

Poway, CA 92064

Telephone 8585493388
Fax 8585499968

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Poway, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C25074

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 30, 2019

Record deactivated on May 30, 2019

NPI Profile Active January 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 17, 2012

Registered at 12625 STOWE DR, POWAY, CA 92064 (Tel: 8585493388)

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Updated Business Mailing Address January 17, 2012

Registered at 12625 STOWE DR, POWAY, CA 920646853 (Tel: 8585493388)

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Provider Name / Credentials Updated January 17, 2012

Recorded as JAY MALKOFF, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2012

General Practice (License #C25074 in CA)

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Initial NPI Registration & Enumeration January 17, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568733996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2012
Last Update: January 17, 2012
Deactivation Date: May 30, 2019

Mailing Address

12625 Stowe Dr

Poway, CA 920646853

Phone: 8585493388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.