DR. JOHN LOUIS NICHOLSON (NPI# 1023176625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023176625 |
| Entity Type | Individual |
| Full Name | DR. JOHN LOUIS NICHOLSON |
| Credential | MD |
| Practice Address |
715 Altos Oaks Dr Los Altos CA 94024-5402 |
| Practice Telephone | 6509484730 |
| Practice Fax Number | 6509484732 |
| Mailing Telephone | 6509484730 |
| Mailing Fax Number | 6509484732 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518243641 | John M Nicholson | Pharmacist | 260 W New Circle Rd, Lexington, KY 40505-1426 | 2011-11-03 |
| 1548550833 | John Richard Nicholson IIi | Internal Medicine | 201 Sivley Rd Sw Ste 200, Huntsville, AL 35801-5177 | 2011-04-08 |
| 1497723795 | John Nicholson | Internal Medicine | 728 Hartness Rd, Statesville, NC 28677-3425 | 2006-03-10 |
| 1316448459 | John Kirkwood Nicholson | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-02-23 |
| 1568819449 | John Forrest Nicholson IIi | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2016-05-19 |
| 1790095933 | John David Nicholson Jr. | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2010-10-20 |
| 1184859100 | John E Nicholson | Dentist | 187 New Hackensack Rd, Wappingers Falls, NY 12590-1726 | 2009-05-19 |
| 1205021516 | John Henry Nicholson | Family Medicine | 169 Delaware Ave, Palmerton, PA 18071-1708 | 2007-09-10 |
| 1699872101 | John Dailey Nicholson | Surgery | 5100 W Taft Rd, Suite 4a, Liverpool, NY 13088 | 2006-09-19 |
| 1336152842 | John F Nicholson | Family Medicine | 329 S Pleasant Avenue, Somerset, PA 15501 | 2006-08-14 |
| Street Address |
715 ALTOS OAKS DR |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94024-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568851327 | Sutter Bay Medical Foundation | Clinic/Center | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2015-01-16 |
| 1871809574 | Heidi M Keesis | Physician Assistant | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2010-08-19 |
| 1588723068 | Benjamin Maser | Surgery | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383431 | Panakos Acupuncture Clinic | Clinic/Center | 851 Fremont Ave, Suite 114, Los Altos, CA 94024 | 2015-08-06 |
| 1487030078 | Nicole Lew | Physical Therapist | 1330 Bright Oaks Ct., Los Altos, CA 94024 | 2015-08-05 |
| 1255718144 | Ciara Johnson | Physical Medicine & Rehabilitation | 1635 Candace Way, Los Altos, CA 94024 | 2015-04-30 |
| 1639479744 | Eileen R Goldman | Marriage & Family Therapist | 2551 Grant Road, Mountain View, CA 94024 | 2010-10-25 |
| 1285890368 | Neilesh Shashikant Patel | Dentist | 595 Loyola, Los Altos, CA 94024 | 2008-07-29 |
| 1841478328 | Alejandro A Zaffaroni Md Inc | Ophthalmology | 762 Altos Oaks Drive, Suite 1, Los Altos, CA 94024 | 2008-02-06 |
| 1710164843 | Donald Robert Watters | Dentist | 851 Fremont Ave., Suite 101, Los Altos, CA 94024 | 2008-01-31 |
| 1508060443 | Verna Lee Stivender | Durable Medical Equipment & Medical Supplies | 1564 Miramonte Avenue, #a, Los Altos, CA 94024 | 2007-06-13 |
| 1770700627 | Deborah Amy Rovine | Psychiatry & Neurology | 1000 Fremont Ave Ste 250d, Los Altos, CA 94024 | 2007-04-20 |
| 1669503082 | Sheila Huang Humphries | Internal Medicine | 811 Altos Oaks Drive, Suite 2, Los Altos, CA 94024 | 2007-03-08 |
| Find all providers in zip 94024 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427166990 | Los Altos Surgery Center | Clinic/Center | 795 Altos Oaks Dr, Los Altos, CA 94024-5428 | 2006-08-26 |
| 1568851327 | Sutter Bay Medical Foundation | Clinic/Center | 715 Altos Oaks Dr, Los Altos, CA 94024-5402 | 2015-01-16 |
| 1083922066 | Eye Face & Body Surgery Center LLC | Clinic/Center | 4906 El Camino Real, Suite C, Los Altos, CA 94022-1449 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.