Malinda J Lydon, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA15482 Issued in CA

Practice address

3941 J St
Suite 270
Sacramento, CA 95819-3628

Phone

(916) 733-6850

Fax

(916) 733-6824

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1619928975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 270",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193628",
            "telephone_number": "916-733-6850",
            "fax_number": "916-733-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST",
            "address_2": "SUITE 270",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193628",
            "telephone_number": "916-733-6850",
            "fax_number": "916-733-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDON",
        "first_name": "MALINDA",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA15482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA15482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celina Alexis Lyas
• Aleksandr Lyashenko
• Anna Lyashenko, MSW
• Leslie Ann Lyda, NP
• Lydia B. Cam, DDS
• Khalfani Lyimo
• Gloria Diane Lyles
• Madeline Wrathall Lyman, PA-C
• Amanda B Lynch
• Caroline Yerkes Lynch, MPT

• Surgical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.