NPIMap

Individual provider Active NPI

Marvelle Tekola Maloney, M.D.

  • Obstetrics & Gynecology Physician
  • San Pablo, CA
National Provider Identifier
1063815173
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A177821 Issued in CA
Practice address
100 San Pablo Towne Center a Ste 100
Ste 100
San Pablo, CA 94806
Phone
(510) 724-9110
NPI assigned
Oct 2, 2014
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA10395200 NJ
Obstetrics & Gynecology Physician 207V00000X A177821 CA Primary

Addresses

Primary practice location

100 San Pablo Towne Center a Ste 100
Ste 100
San Pablo, CA 94806

Mailing address

100 San Pablo Towne Center a Ste 100
Ste 100
San Pablo, CA 94806
Phone (510) 724-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706003037 CA Practitioner - Obstetrics/Gynecology 5890043079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

365 Hawthorne Ave
Suite 301
Oakland, CA 94609-3113
Phone (510) 893-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177821CAMDObstetrics & Gynecology Physician
25MA10395200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Obstetrics & Gynecology CurrentSince Aug 16, 2022 Accepting new patients
Stanford Health Care Obstetrics & Gynecology Current Accepting new patients
Stanford Health Care CurrentSince Aug 16, 2022 Accepting new patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Jun 22, 2022 Accepting new patients
University Healthcare Alliance Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

5800 Hollis St
Emeryville, CA 94608
Phone (510) 806-2100

6121 Hollis St
Ste 800
Emeryville, CA 94608
Phone (510) 686-3621

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

365 Hawthorne Ave
Ste 301
Oakland, CA 94609
Phone (510) 204-8168

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

100A San Pablo Towne Ctr
San Pablo, CA 94806
Phone (510) 237-2802

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: mmaloney374892@direct.stanfordhealthcare.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1063815173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SAN PABLO TOWNE CENTER A STE 100",
            "address_2": "STE 100",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-724-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SAN PABLO TOWNE CENTER A STE 100",
            "address_2": "STE 100",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-724-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "MARVELLE",
        "middle_name": "TEKOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10395200",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A177821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.