Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Lyle Molina

Individual provider Family Nurse Practitioner · NPI 1649687435

Mr. Lyle Molina is a Nurse Practitioner in Elk Grove, California. Qualified in 2012, 14 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2014

Practice location Address checks out

8220 Wymark Dr Ste 200
Elk Grove, CA 95757-6298
Phone: (916) 667-0600
Fax: (916) 683-0232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3001 Douglas Blvd Ste 150, Roseville, CA 95661-3853 — (408) 806-8797

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23822 (CA)

Record details

NPI number1649687435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2014
Last updated in NPPESOctober 19, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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