DR. BRENDA J MALONE (NPI# 1013190263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013190263 |
| Entity Type | Individual |
| Full Name | DR. BRENDA J MALONE |
| Credential | M.D. |
| Practice Address |
23233 Los Ranchos Dr Tracy CA 95304-9761 |
| Mailing Address |
Po Box 324 Byron CA 94514-0324 |
| Practice Telephone | 2098364417 |
| Practice Fax Number | 2098364417 |
| Mailing Telephone | 2098364417 |
| Mailing Fax Number | 2098364417 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2013-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G48361 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740501584 | Brenda W. Malone | Acupuncturist | 2187 Logan St, Clearwater, FL 33765-1313 | 2010-06-16 |
| Street Address |
23233 LOS RANCHOS DR |
| City | TRACY |
| State | CA |
| Zip Code | 95304-9761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934226 | Tracy Dental Excellence, Chase Dental Group, Inc. | Dentist | 2858 West Grantline Rd, Tracy, CA 95304 | 2016-06-27 |
| 1396153474 | Reny Matthew | Pharmacist | 3010 W Grantline Road, Tracy, CA 95304 | 2014-08-01 |
| 1023286879 | Maneeza A Kulaly | Dentist | 2616 Pavilion Pkwy, Suite B, Tracy, CA 95304 | 2008-02-14 |
| 1447437892 | Norma Jean Paisley | Social Worker | 30000 Kasson Rd. #323, Tracy, CA 95304 | 2008-01-29 |
| 1811061641 | Katherine D Sanchez Dds Inc | Dentist | 2643 Naglee Rd, Tracy, CA 95304 | 2006-11-20 |
| 1851401467 | Costco Wholesale Corporation | Pharmacy | 3250 W Grant Line Rd, Tracy, CA 95304 | 2006-08-30 |
| 1942218128 | Adarsh Kaur | Dentist | 23500, Kasson Road, Tracy, CA 95304 | 2006-08-04 |
| 1982078630 | Janet Joanne Graham | Licensed Practical Nurse | 23500 Kasson Road, Tracy, CA 95304 | 2015-11-18 |
| 1215277207 | Dawn Bramley | Psychologist | 23500 Kasson Rd, Tracy, CA 95304 | 2013-02-27 |
| 1760670509 | Franklin Rafanan | Social Worker | 23500 Kasson Road, Tracy, CA 95304 | 2007-10-05 |
| Find all providers in zip 95304 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750715777 | Navtejpal Singh Kahlon | General Practice | 1596 Poppy Hills Ln, Tracy, CA 95377-8701 | 2013-08-27 |
| 1457366890 | Wilfredo P Apostol | General Practice | 249 5th St E, Tracy, MN 56175-1536 | 2006-07-31 |
| 1902019433 | Sambrajya Palagummi | General Practice | 23500 Kasson Road, Tracy, CA 95378-0400 | 2007-05-08 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.