Active NPI
Tyronda Elliott Malcolm, MD
- Pulmonary Disease Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A126934
- Practice address
- 1411 E 31St St
Wing Oa2 - Room 5
Oakland, CA 94602 - Phone
- (104) 374-8005
- NPI assigned
- Jan 27, 2011
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A126934 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A126934 | CA |
Addresses
Primary practice location
1411 E 31St St
Wing Oa2 - Room 5
Oakland, CA 94602
Mailing address
1411 E 31St St
Wing Oa2, Room 5
Oakland, CA 94602
Phone (105) 437-4800
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Davis School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126934 | CA | MD | Mental Health Counselor |
| A126934 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
1411 E 31st St
Rm 5
Oakland, CA 94602
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Interoperability endpoints
- telliott15996@alamedahs.direct-ci.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
dba Alameda Hospital Physicians - A Community Clinic
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
dba Newark Health Center
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Internal Medicine Physician
- Vallejo, CA
- NPI 1336222397
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1538465307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"address_2": "WING OA2, ROOM 5",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94602",
"telephone_number": "105-437-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"address_2": "WING OA2 - ROOM 5",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94602",
"telephone_number": "104-374-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALCOLM",
"first_name": "TYRONDA",
"middle_name": "ELLIOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2023-04-19",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A126934",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A126934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.