Individual provider Active NPI

Musarrat Malik, PA-C

  • Medical Physician Assistant
  • Granite Bay, CA
National Provider Identifier
1255670642
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA22416 Issued in CA
Practice address
8820 Greyhawk Dr
Granite Bay, CA 95746-8842
Phone
(916) 872-4184
Fax
(916) 872-4184
NPI assigned
Feb 5, 2013
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22416 CA
Medical Physician Assistant 363AM0700X PA22416 CA Primary

Addresses

Primary practice location

8820 Greyhawk Dr
Granite Bay, CA 95746-8842

Mailing address

8820 Greyhawk Dr
Granite Bay, CA 95746-8842
Phone (916) 872-4184

Other names 1

  • Musarrat Malik Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002053 CA Practitioner - Physician Assistant 2466769112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gina Tobalina MD IncGroup PAC ID 7012167281, 5 clinicians

Practice addresses (Care Compare)

1615 Creekside Dr
Folsom, CA 95630-3491
Phone (916) 803-2602

1615 Creekside Dr Ive
Suite 101
Folsom, CA 95630-3491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA22416CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: mmalik5796@hpmg.direct-ci.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1255670642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 GREYHAWK DR",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957468842",
            "telephone_number": "916-872-4184",
            "fax_number": "916-872-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 GREYHAWK DR",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957468842",
            "telephone_number": "916-872-4184",
            "fax_number": "916-872-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MUSARRAT",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22416",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUSARRAT",
            "last_name": "MALIK",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Granite Bay, CA

Sources for this page

Verify at the official NPI Registry.