Individual provider Active NPI

Stuart Malcolm, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1124472055
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A159926 Issued in CA
Practice address
2261 Market St # 10535
San Francisco, CA 94114-1612
Phone
(408) 508-4163
Fax
(888) 789-1402
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A159926 CA Primary

Addresses

Primary practice location

2261 Market St # 10535
San Francisco, CA 94114-1612

Mailing address

2261 Market St # 10535
San Francisco, CA 94114-1612
Phone (408) 508-4163

Other practice location 1

6036 SE 40th Ave
Portland, OR 97202-7616
Phone (770) 687-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190918001904 CA Practitioner - Internal Medicine 5890025852 Reassigns benefits to 1 organization
I20210821000372 OR Practitioner - Internal Medicine 5890025852 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159926CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Jul 1, 2022 Accepting new patients
Healthright 360 Current Accepting new patients
Healthright 360 CurrentSince Mar 5, 2020 Accepting new patients
Healthright 360 CurrentSince Mar 5, 2020 Accepting new patients
Openloop Healthcare Partners California PC Current Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jul 1, 2022 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

818 W 7th St
Ste A
Los Angeles, CA 90017

818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1124472055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 10535",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "408-508-4163",
            "fax_number": "888-789-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 10535",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "408-508-4163",
            "fax_number": "888-789-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 SE 40th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972027616",
            "country_code": "US",
            "telephone_number": "770-687-7654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A159926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.