Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert J Mallory, MSPH, MPAS, PA-C

Individual provider Surgical Physician Assistant · NPI 1588612667

Robert J Mallory, MSPH, MPAS, PA-C is a Physician Assistant in San Diego, California. Qualified in 2002, 24 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (858) 246-1597
Fax: (858) 228-5153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA16538 (CA)

Record details

NPI number1588612667
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPH , MPAS , PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESApril 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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