DR. JAMES M MALONE III (NPI# 1457343113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457343113 |
| Entity Type | Individual |
| Full Name | DR. JAMES M MALONE III |
| Credential | MD |
| Practice Address |
715 Tank Farm Road Suite C San Luis Obispo CA 93401-7068 |
| Mailing Address |
117 West Bunny Avenue Santa Maria CA 93458-2805 |
| Practice Telephone | 8055435577 |
| Practice Fax Number | 8055953231 |
| Mailing Telephone | 8055435577 |
| Mailing Fax Number | 8055953231 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
A64765 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA PIN | 6578092 | 01 | |
| INTEGRATED HEALTH PLAN | M124883 | 01 | |
| CMSP | 1018 | 01 | |
| BLUE SHIELD GROUP PIN | ZZZ002934Z | 01 | |
| CA | MEDICARE ID | CB239197 | 01 |
| CA | 00A647650 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083078943 | James K Malone | Internal Medicine | 5256 N Illinois St, Indianapolis, IN 46208-2636 | 2016-04-07 |
| 1356324883 | James Michael Malone | Nurse Anesthetist, Certified Registered | 2550 Avenue Au Soleil, Gulf Stream, FL 33483-6102 | 2005-11-29 |
| 1669037388 | James Dallas Malone | Counselor | 5964 Us Highway 90, Live Oak, FL 32060-8694 | 2019-05-08 |
| 1003240565 | James M Malone | Counselor | 615 Leominster Rd, Lunenburg, MA 01462-2013 | 2013-09-02 |
| 1437428877 | James Malone | Pharmacist | 518 Donelson Pike, Nashville, TN 37214-3729 | 2011-12-14 |
| 1356635189 | James Reid Malone | Pharmacist | 201 W Ponce De Leon Ave, 431, Decatur, GA 30030-3217 | 2011-06-09 |
| 1295920163 | James Brian Malone | Family Medicine | 1215 S Coulter St, Suite 100, Amarillo, TX 79106-1758 | 2007-09-12 |
| 1912032046 | James David Malone | Social Worker | 1190 Stafford Rd, 2nd Floor, Fall River, MA 02721 | 2007-02-22 |
| 1134225832 | James E Malone | Family Medicine | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9012 | 2006-09-16 |
| 1891745667 | James C. Malone | Anesthesiology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-05-11 |
| Street Address |
715 TANK FARM ROAD SUITE C |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385183 | Oncology Hematology Medical Associates of The Central Coast | Internal Medicine | 715 Tank Farm Road, San Luis Obispo, CA 93401-4140 | 2005-06-13 |
| 1790176543 | Diane De Vos-schmidt | Nurse Practitioner | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2015-02-16 |
| 1144400771 | Mary M Okimoto | Clinical Nurse Specialist | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2007-11-12 |
| 1861609414 | Susan K Moon Labriola | Clinical Nurse Specialist | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2007-05-16 |
| 1477558435 | Thomas J Spillane | Internal Medicine | 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265478697 | Andrew L. Kominsky | Internal Medicine | 715 Tank Farm Rd, Suite C, San Luis Obispo, CA 93401-7068 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174262 | Caitlin O'neill | Internal Medicine | 1441 Eastlake Ave # Nor3470, Los Angeles, CA 90089-1029 | 2014-04-09 |
| 1093154841 | Stephen H. Embury | Internal Medicine | 108 Eagle Trace Dr, Half Moon Bay, CA 94019-2286 | 2013-06-14 |
| 1528308897 | Richard J Lewis | Internal Medicine | 902 Brockton Ln, Ventura, CA 93001-3864 | 2013-02-25 |
| 1033341672 | Abdullah Ladha | Internal Medicine | 1441 Eastlake Ave Ntt3459, Los Angeles, CA 90089-0001 | 2009-08-16 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1023271350 | Gallia Georgette Levy | Internal Medicine | 505 Parnassus Ave # 1286, Box 1270, San Francisco, CA 94143-2204 | 2008-07-07 |
| 1205098498 | Waheed Murad | Internal Medicine | 27433 Lovettsville Ln, Temecula, CA 92591-2542 | 2008-06-27 |
| 1659547487 | Noah Merrill Merin | Internal Medicine | 8700 Beverly Blvd # Ac1046, West Hollywood, CA 90048 | 2008-05-01 |
| 1609918556 | Michaela Liedtke | Internal Medicine | 875 Blake Wilbur, Stanford, CA 94305 | 2007-02-13 |
| 1790827640 | Jason Gotlib | Internal Medicine | 875 Blake Wilbur Dr Rm 2327b, Palo Alto, CA 94304-2205 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.