Kimberly Jean Malson, RN – Registered Nurse

Key facts

NPI: 1750006730
Entity type: Individual (NPI type 1)
Primary specialty: Registered Nurse 163W00000X
License: 359244 (CA)
Practice address: 31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Phone: (530) 474-2290
Fax: (530) 474-1407
NPI assigned: Oct 11, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Shingletown Medical Center Federally Qualified Health Center (FQHC) · Shingletown, CA · NPI 1750387072

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
359244	CA	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Shingletown Medical Center		Current since Oct 16, 2022	Accepting new patients

Locations

31292 Alpine Meadows Rd
Shingletown, CA 96088
Phone (530) 474-3390

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	359244	CA	Yes

Addresses

Primary practice location

31292 Alpine Meadows Rd
Shingletown, CA 96088-9462

Mailing address

31292 Alpine Meadows Rd
Shingletown, CA 96088-9462
Phone (530) 474-2290

Other providers in Shingletown, CA

All providers in Shingletown, CA · Registered Nurse in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.