Individual provider Active NPI

Linda Malcolm, RN

  • Registered Nurse
  • Loomis, CA
National Provider Identifier
1851044960
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
404433 Issued in CA
Practice address
5470 Brace Rd
Loomis, CA 95650-9220
Phone
(916) 652-9177
NPI assigned
Jan 28, 2022
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 404433 CA Primary

Addresses

Primary practice location

5470 Brace Rd
Loomis, CA 95650-9220

Mailing address

5470 Brace Rd
Loomis, CA 95650-9220
Phone (916) 652-9177

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL LOOMIS
CONNECT URL LOOMIS

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
404433CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1851044960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 BRACE RD",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509220",
            "telephone_number": "916-652-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 BRACE RD",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509220",
            "telephone_number": "916-652-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "404433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LOOMIS",
            "affiliation": "N",
            "address_1": "5470 Brace Rd",
            "city": "Loomis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956509220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LOOMIS",
            "affiliation": "N",
            "address_1": "5470 Brace Rd",
            "city": "Loomis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956509220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loomis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.