MALLORY KING (NPI# 1770190969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770190969 |
| Entity Type | Individual |
| Full Name | MALLORY KING |
| Credential | PA-C |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Mailing Address |
988 Gladiola Ln Manteca CA 95336-8668 |
| Practice Telephone | 5593533000 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184160160 | Mallory King | Speech-Language Pathologist | 4259 Great Falls Loop, Middleburg, FL 32068-3890 | 2017-01-13 |
| 1346882198 | Mallory Elizabeth King | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2019-10-14 |
| 1679946255 | Mallory King | Student in an Organized Health Care Education/Training Program | 1100 E 5th St, Anderson, IN 46012-3462 | 2015-11-04 |
| 1154690089 | Mallory King | Massage Therapist | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 | 2011-12-21 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
| 1164034419 | Megan Eileen Bailey | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1871014605 | Vishal Manhas | Physician Assistant | 2210 N Schnoor St Apt 203, Madera, CA 93637-4982 | 2017-07-01 |
| 1770789927 | Charles Joseph Mackey | Physician Assistant | Madera Hospital Family Health Services, 1210 E. Almond Ave, Madera, CA 93637 | 2007-06-25 |
| 1093792756 | Stephen M Manigo-hedt | Physician Assistant | 201 South B Street, Camarena Health Center, Madera, CA 93638 | 2005-12-23 |
| 1164034419 | Megan Eileen Bailey | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-18 |
| 1750992988 | Sarah June Peffer | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-08-11 |
| 1821566290 | Monica Martinez | Physician Assistant | 344 E 6th St, Madera, CA 93638-3631 | 2018-11-05 |
| 1578039665 | Parmveer Singh Bains | Physician Assistant | 344 E 6th St, Madera, CA 93638 | 2018-10-16 |
| 1770058521 | Traci Jane Grussenmeyer | Physician Assistant | 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 | 2018-10-08 |
| 1003300179 | Douglas Tyler Howell | Physician Assistant | 1250 E Almond Ave, Madera, CA 93637-5606 | 2018-06-21 |
| Find all providers in MADERA | ||||
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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.