Active NPI
Patrick O'Malley, M.D.
- Surgery Physician
- Folsom, CA
National Provider Identifier
1497810501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00A44998
- Practice address
- 1600 Creekside Dr
Suite 2200
Folsom, CA 95630-3444 - Phone
- (916) 983-7121
- NPI assigned
- Dec 27, 2006
- Last updated
- Sep 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00A44998 | CA | Primary |
Addresses
Primary practice location
1600 Creekside Dr
Suite 2200
Folsom, CA 95630-3444
Mailing address
1600 Creekside Dr
Suite 2200
Folsom, CA 95630-3444
Phone (916) 983-7121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A44998 | Medicaid | CA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110105000291 | CA | Practitioner - General Surgery | 8820287915 | Practice locations: Folsom, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A44998 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1497810501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CREEKSIDE DR",
"address_2": "SUITE 2200",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303444",
"telephone_number": "916-983-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CREEKSIDE DR",
"address_2": "SUITE 2200",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303444",
"telephone_number": "916-983-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "00A44998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A44998",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
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- O'Donnell Physical Therapy Corp.
- Connor Owen O'Keefe
- Peter Lawrence O'Malley, MD
- Emily Susanne O'Neal, PA-C
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- Occupational Health Centers of California, a Medical Corporation (Concentra Medical Center)
- Joseph Aaron Ochoa, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.