Individual provider Active NPI

Abigail Lynn Malecot, FNP-C

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1730984402
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033997 Issued in CA
Practice address
24910 Las Brisas Rd Ste 105
Murrieta, CA 92562-4010
Phone
(951) 231-1385
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033997 CA Primary

Addresses

Primary practice location

24910 Las Brisas Rd Ste 105
Murrieta, CA 92562-4010

Mailing address

3436 Bayside Walk
San Diego, CA 92109-7544
Phone (325) 370-6368

Other practice location 1

3436 Bayside Walk
San Diego, CA 92109-7544
Phone (325) 370-6368

Other names 1

  • Abigail Lynn Holmes Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003510 CA Practitioner - Nurse Practitioner 8820514748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033997CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Health, Inc. CurrentSince Mar 4, 2025 Accepting new patients
Murrieta Express Care, Inc Past Accepting new patients

Locations

24910 Las Brisas Rd
Ste 105
Murrieta, CA 92562
Phone (951) 231-1385

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abigail.malecot.1@3408.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/3408/brand/2/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1730984402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 BAYSIDE WALK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921097544",
            "telephone_number": "325-370-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-231-1385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3436 Bayside Walk",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921097544",
            "country_code": "US",
            "telephone_number": "325-370-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALECOT",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "HOLMES",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.