Lindell Krpan Maloney, PA-C
Individual provider Active NPI Physician Assistant · Angels Camp, CA
NPI 1164048807 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1164048807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1172481 (CA)
- Practice address
- 590 Stanislaus Ave
Angels Camp, CA 95222-9998 - Phone
- (209) 736-0813
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mark Twain Medical Center
Practice addresses (Care Compare)
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211102003245 | CA | Practitioner - Physician Assistant | 2567850035 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1172481 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Medical Center | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Mark Twain Medical Center | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients |
Locations
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422
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
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1172481 | CA | Yes |
Addresses
Primary practice location
590 Stanislaus Ave
Angels Camp, CA 95222-9998
Mailing address
PO Box 95
Murphys, CA 95247-0095
Other providers in Angels Camp, CA
- Longs Drug Stores California LLC
- Everardo Lopez
- Jane S Lucas
- Susan Mary Lyneis-Sirias
- M a C T Health Board, Incorporated
- Mark Twain Medical Center
- Mark Twain Union Elementary School District
- Gajan Tristan Mathivanan
- Ellie R McCracken
- Warda Nawaz
All providers in Angels Camp, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.