DR. JULIAN J. NICHOLAS (NPI# 1033211685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033211685 |
| Entity Type | Individual |
| Full Name | DR. JULIAN J. NICHOLAS |
| Credential | M.D. |
| Practice Address |
15025 Innovation Dr San Diego CA 92128-3409 |
| Mailing Address |
54433 File Los Angeles CA 90074-0001 |
| Practice Telephone | 8586057390 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2009-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A72818 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A728180 | 05 | |
| CHAMPUS | B179 | 01 | |
| CHAMPUS | F675 | 01 | |
| RAILROAD MEDICARE | 110218178 | 01 |
| Street Address |
15025 INNOVATION DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240722 | Mark Edward Gallegos | Physician Assistant | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-01-23 |
| 1891896569 | Mark B. Kuhse | Emergency Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-26 |
| 1962504431 | Ronald G. Salzetti | Obstetrics & Gynecology | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1407958978 | Danielle P. Twyman | Physician Assistant | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1225130792 | Marcelline K. Welsh | Pediatrics | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1275635831 | Michael J. Rundell | Emergency Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1477655082 | Margaret A. Drehobl | Family Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1346342995 | Clifford G. Feaver | Podiatrist | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1518069160 | Kimberly A. Longmire | Emergency Medicine | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| 1972605525 | Kevin W. Mcneely | Obstetrics & Gynecology | 15025 Innovation Dr, San Diego, CA 92128-3409 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932429842 | Veeral Haresh Ajmera | Internal Medicine | 4168 Front St Fl 2, San Diego, CA 92103-2030 | 2010-06-03 |
| 1033434071 | Cainan Foltz | Internal Medicine | 8008 Frost St Ste 200, San Diego, CA 92123-4207 | 2010-04-01 |
| 1750618765 | Golden Coast Management Inc | Internal Medicine | 4809 Clairemont Dr, Ste 302, San Diego, CA 92117-2706 | 2009-11-11 |
| 1538334974 | Alexander Shpaner | Internal Medicine | 6719 Alvarado Rd Ste 206, San Diego, CA 92120-5261 | 2008-04-27 |
| 1447464912 | Ivan Cubas | Internal Medicine | 292 Euclid Ave Ste 115, San Diego, CA 92114-3629 | 2007-05-10 |
| 1992892707 | Vijayalakshmi S Pratha | Internal Medicine | 3330 3rd Ave Ste 304, San Diego, CA 92103-5639 | 2006-10-05 |
| 1730270380 | Tuan Nguyen | Internal Medicine | 4141 Fairmount Ave, Suite #201, San Diego, CA 92105-1609 | 2006-09-27 |
| 1063522613 | Daniel Young Lee | Internal Medicine | 8008 Frost St., #200, San Diego, CA 92123-4205 | 2006-08-30 |
| 1972569713 | Thomas Anthony Rauner | Internal Medicine | 4020 Fifth Ave, San Diego, CA 92103-2106 | 2006-04-21 |
| 1225019300 | Norman J Goldberg | Internal Medicine | Va Medical Center 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2005-11-07 |
| Find all providers in SAN DIEGO | ||||
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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.