NICOLE MALIA LINDSTROM – Occupational Therapist, NPI 1073290664

NICOLE MALIA LINDSTROM is a healthcare provider. based in National city, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 25189 (CA). The NPI Number for NICOLE MALIA LINDSTROM is 1073290664

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MALIA LINDSTROM
NPI
1073290664
Phone
(661) 210-7176
Address
2240 E PLAZA BLVD STE B-E
Enumeration Date
5 July 2023
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192300855
Graduation Year
2023 (3 years ago)
PAC ID
9133583164
Group Practice PAC ID
0941450498
Professional Enrollment ID
I20230911000048
Address ID
CA919103057CH88XXXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for NICOLE MALIA LINDSTROM

  • 2240 E PLAZA BLVD STE B-E

    NATIONAL CITY, CA 919505164

    Phone: (661) 210-7176

    Type: Mailing

  • 88 E BONITA RD STE C

    CHULA VISTA, CA 919103057

    Phone: (619) 230-0855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230911000048IOccupational Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91950)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941450498View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
Sports Medicine, Orthopedic SurgeryCA
Hand Surgery, Orthopedic SurgeryCA
Hand Surgery, Orthopedic SurgeryCA
Sports Medicine, Orthopedic SurgeryCA
Physical Therapist In Private PracticeCA
-CA
Sports Medicine, Physical Medicine And RehabilitationPA
Physician AssistantCA
-CA

Reviews

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Frequently asked questions

Is there an official ID for NICOLE MALIA LINDSTROM in U.S. healthcare records?
The official identifier for NICOLE MALIA LINDSTROM is NPI 1073290664.
Is NICOLE MALIA LINDSTROM still an active registrant?
NICOLE MALIA LINDSTROM carries an active NPI according to the public dataset.
What expertise is attributed to NICOLE MALIA LINDSTROM?
NICOLE MALIA LINDSTROM's specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE MALIA LINDSTROM?
Directory geography for NICOLE MALIA LINDSTROM centers on National City, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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