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

Mrs. Jennifer Rebecca Malloy, PA-C

Individual provider Surgical Physician Assistant · NPI 1114008554

Mrs. Jennifer Rebecca Malloy, PA-C is a Surgical Physician Assistant in Campbell, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2255 S Bascom Ave Ste 200
Campbell, CA 95008-7800
Phone: (408) 376-3626
Fax: (408) 871-2377
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA17849 (CA)

Record details

NPI number1114008554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 18, 2006
Last updated in NPPESFebruary 26, 2010

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