Individual provider Active NPI

Nolan J Maloney, MD

  • MOHS-Micrographic Surgery Physician
  • Medford, OR
National Provider Identifier
1124655618
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD223950 Issued in OR
Practice address
2959 Siskiyou Blvd Ste B
Medford, OR 97504-8131
Phone
(541) 773-3636
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD223950 OR Primary

Addresses

Primary practice location

2959 Siskiyou Blvd Ste B
Medford, OR 97504-8131

Mailing address

2959 Siskiyou Blvd Ste B
Medford, OR 97504-8131
Phone (541) 773-3636

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
I20230620002471 CA Practitioner - Dermatology 2264890433 Reassigns benefits to 1 organization
I20250813003594 OR Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2264890433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of California, Geffen School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Laser Assoc. of MedfordGroup PAC ID 9436122793, 11 clinicians

Practice addresses (Care Compare)

2959 Siskiyou Blvd
Suite B
Medford, OR 97504-8131
Phone (541) 773-3636

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision114
Removal of skin lesions321
Removal of skin cancer322
Removal or shaving of skin growth24
Skin biopsy149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince May 27, 2024 Accepting new patients
Dermatology and Laser Associates of Medford Dermatology CurrentSince Aug 1, 2025 Accepting new patients
Regents of the University of California CurrentSince May 27, 2024 Accepting new patients
Permanente Medical Group Inc Dermatology CurrentSince Jun 13, 2023 Accepting new patients
Permanente Medical Group Inc Dermatology Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 13, 2023 Accepting new patients
LPCH Medical Group Div of Lucile PastSince Sep 1, 2021 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

File 57326
Los Angeles, CA 90074

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

8899 University Center Ln
Ste 220
San Diego, CA 92122

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

3555 Whipple Rd
Union City, CA 94587
Phone (510) 454-1000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

2959 Siskiyou Blvd
Ste B
Medford, OR 97504
Phone (541) 773-3636

Interoperability endpoints

  • Direct secure messaging: maloney@dermlasermedford.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1124655618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "NOLAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD223950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.