DR. NICHOLAS AARON FETTMAN (NPI# 1003005109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003005109 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS AARON FETTMAN |
| Credential | MD |
| Practice Address |
1700 N Rose Ave Suite 460 Oxnard CA 93030-3790 |
| Mailing Address |
2876 Sycamore Dr Suite 303 Simi Valley CA 93065-1530 |
| Practice Telephone | 8059830395 |
| Practice Fax Number | 8059830463 |
| Mailing Telephone | 8055277320 |
| Mailing Fax Number | 8055272426 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A116624 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1700 N ROSE AVE SUITE 460 |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-3790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778712 | Suckchai Tulathimutte | Surgery | 1700 N Rose Ave, Ste 430, Oxnard, CA 93030-7657 | 2005-05-23 |
| 1659777431 | Rajesh Rai | Pharmacist | 1700 N Rose Ave, 140, Oxnard, CA 93030-3790 | 2014-11-06 |
| 1366847014 | Andrew R. Weymer, Md A Professional Corporation | Internal Medicine | 1700 N Rose Ave, Suite # 350, Oxnard, CA 93030-3790 | 2014-10-23 |
| 1073925814 | Alicia Zaragoza | Nurse Practitioner | 1700 N Rose Ave, Suite 145, Oxnard, CA 93030-3790 | 2014-05-28 |
| 1669716387 | Mani Kalantari Nezhad | Psychiatry & Neurology | 1700 N Rose Ave, Ste 220, Oxnard, CA 93030 | 2012-11-19 |
| 1215227095 | David W Orias M D Inc | Specialist | 1700 N Rose Ave, 420, Oxnard, CA 93030-3790 | 2011-04-13 |
| 1710117932 | Kelvin S Wong | Urology | 1700 N Rose Ave, Suite 370, Oxnard, CA 93030-3790 | 2009-07-22 |
| 1376779249 | Ventura Trauma/surgical Critical Care Medical Corporation | Surgery | 1700 N Rose Ave, Oxnard, CA 93030-3790 | 2009-06-05 |
| 1942454442 | Orthopedic Hospitalists of Oxnard PC | Orthopaedic Surgery | 1700 N Rose Ave, Oxnard, CA 93030-3790 | 2008-11-11 |
| 1720240716 | Jaime Arana | Surgery | 1700 N Rose Ave, Suite 430, Oxnard, CA 93030-3790 | 2008-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912775 | Joseph Paul Lee | Otolaryngology | 1700 N Rose Ave Ste 460, Oxnard, CA 93030 | 2006-04-19 |
| 1811252968 | Saranya Reghunathan | Otolaryngology | 2361 E Vineyard Ave, Oxnard, CA 93036-2102 | 2012-07-05 |
| 1912077314 | Channel Islands Plastic & Reconstructive Surgery Medical Group, Inc. | Otolaryngology | 1801 Solar Dr, #150, Oxnard, CA 93030-8234 | 2006-11-09 |
| 1972600260 | Elisabeth Mitchell Barbosa | Otolaryngology | 2361 E Vineyard Ave, Oxnard, CA 93036-2102 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.