Caitlin O'Malley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5406 Quane Rd
Rocklin, CA 95765-5136

Phone

(415) 827-4146

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Lincoln PCGroup PAC ID 6103210349, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Integrated Dermatology of Lincoln, PC

  • Dermatology Physician
  • Red Bluff, CA
  • NPI 1104585884
  Medicare reassignment Care Compare group
• Lincoln Medical Associates, Inc.

  • Internal Medicine Physician
  • Lincoln, CA
  • NPI 1003133885
  Medicare reassignment
• Jill E. Stocker, D.O. PC

  • Family Medicine Physician
  • Yuba City, CA
  • NPI 1043408693
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1265100853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 QUANE RD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655136",
            "telephone_number": "415-827-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 QUANE RD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655136",
            "telephone_number": "415-827-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "CAITLIN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Nwaukoni
• Jared Nyagol
• Abigail Raye Nye
• Grace O'Brien, PA-C
• Andrea Lee O'Donnell, M.S. CCC-SLP
• Michelle Elizabeth O'Neill, SPEECH PATHOLOGIST
• Hope Nicole O'Quinn
• Jennifer Ann O'Toole, PTA
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
• Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)

• Physician Assistant in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.