Individual provider Active NPI

Nancy Abdelmalak, M.D.

  • Psychiatry Physician
  • Elk Grove, CA
National Provider Identifier
1912137498
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A133007 Issued in CA
Practice address
9280 W Stockton Blvd Ste 230
Elk Grove, CA 95758-8078
Phone
(916) 576-7924
Fax
(916) 691-9461
NPI assigned
Jul 20, 2009
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A133007 CA Primary

Addresses

Primary practice location

9280 W Stockton Blvd Ste 230
Elk Grove, CA 95758-8078

Mailing address

3835 N Freeway Blvd
100
Sacramento, CA 95834-1928
Phone (916) 576-7898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133007CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento Current Accepting new patients
County of Sacramento CurrentSince Mar 7, 2015 Accepting new patients
Turning Point Community Programs CurrentSince Mar 7, 2015 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatry Past Accepting new patients
Mark David Levinem MD Sunnyvale PC Psychiatry Past Accepting new patients

Locations

1400 A St
Bldg A
Sacramento, CA 95811
Phone (916) 440-1500

7001 East Pkwy
#A
Sacramento, CA 95823
Phone (916) 875-5701

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1912137498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD",
            "address_2": "100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341928",
            "telephone_number": "916-576-7898",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W STOCKTON BLVD STE 230",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588078",
            "telephone_number": "916-576-7924",
            "fax_number": "916-691-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMALAK",
        "first_name": "NANCY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A133007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.