Active NPI
Thomas Owen Maloney, MD
- Internal Medicine Physician
- Petaluma, CA
National Provider Identifier
1275533887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C27620
- Practice address
- 108 Lynch Creek Way
#5
Petaluma, CA 94954-2357 - Phone
- (707) 763-6585
- Fax
- (707) 763-2788
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C27620 | CA | Primary |
Addresses
Primary practice location
108 Lynch Creek Way
#5
Petaluma, CA 94954-2357
Mailing address
108 Lynch Creek Way
#5
Petaluma, CA 94954-2357
Phone (707) 763-6585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C276200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C27620 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275533887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LYNCH CREEK WAY",
"address_2": "#5",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542357",
"telephone_number": "707-763-6585",
"fax_number": "707-763-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 LYNCH CREEK WAY",
"address_2": "#5",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542357",
"telephone_number": "707-763-6585",
"fax_number": "707-763-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONEY",
"first_name": "THOMAS",
"middle_name": "OWEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C27620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C276200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.