MAXINE LEAH MALEKMEHR – Physician Assistant, NPI 1871282152

MAXINE LEAH MALEKMEHR is a healthcare provider. based in Colton, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA62662 (CA). The NPI Number for MAXINE LEAH MALEKMEHR is 1871282152

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MAXINE LEAH MALEKMEHR
NPI
1871282152
Phone
(909) 887-2991
Address
1850 E WASHINGTON ST
Enumeration Date
3 May 2023
Last Update Date
27 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098872991
Graduation Year
2022 (4 years ago)
PAC ID
5597102061
Group Practice PAC ID
8224088091
Professional Enrollment ID
I20240319003510
Address ID
CA923244621CO1850XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MAXINE LEAH MALEKMEHR

  • 1850 E WASHINGTON ST

    COLTON, CA 923244621

    Phone: (909) 887-2991

    Fax: (909) 887-5694

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $459.

Total Amount is formed as General ($459) + Research ($0) + Ownership ($0) = $459.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($155).

Total Amount

$459

General + Research + Ownership

Payments

26

Total payment records

General Amount

$459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240319003510IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224088091View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
Physician AssistantCA
C H I R O P R A C T I CCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

How do payers reference MAXINE LEAH MALEKMEHR?
For MAXINE LEAH MALEKMEHR, use NPI 1871282152 as the unique 10-digit identifier.
Is MAXINE LEAH MALEKMEHR still an active registrant?
MAXINE LEAH MALEKMEHR carries an active NPI according to the public dataset.
What area of care is associated with MAXINE LEAH MALEKMEHR?
MAXINE LEAH MALEKMEHR's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MAXINE LEAH MALEKMEHR associated with Colton?
Public fields place MAXINE LEAH MALEKMEHR around Colton, California. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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