NICOLE CHASE (NPI# 1134472764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134472764 |
| Entity Type | Individual |
| Full Name | NICOLE CHASE |
| Credential | PA-C |
| Practice Address |
465 N Roxbury Dr Beverly Hills CA 90210-4206 |
| Mailing Address |
535 S Curson Ave Apt 2m Los Angeles CA 90036-5293 |
| Practice Telephone | 3107778800 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA22482 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA22482 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023376662 | Nicole Denee Chase | Nutritionist | 1755 Coburg Rd # Bulding5, Eugene, OR 97401-4982 | 2012-05-02 |
| 1326279431 | Nicole Ann Chase | Dietitian, Registered | 6824 Jewell Ave, Fort Worth, TX 76112-5636 | 2009-08-06 |
| 1265030092 | Nicole Chase | Physical Therapist | 12891 Citrus Plaza Dr, Tampa, FL 33625-3010 | 2020-10-14 |
| 1144847922 | Nicole Chase | Student in an Organized Health Care Education/Training Program | 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068-3273 | 2020-06-29 |
| 1972857050 | Nicole Barbara Chase | Occupational Therapist | 7902 Nw 36th St Ste 207, Doral, FL 33166 | 2012-10-29 |
| 1568646057 | Nicole M Chase | Allergy & Immunology | 565 Snelling Ave S, Saint Paul, MN 55116-1525 | 2007-12-20 |
| 1467560540 | Nicole Chase | Nurse Practitioner | 111 Ossipee Trl E, Suite 1142, Standish, ME 04084-6464 | 2006-08-28 |
| 1881658383 | Nicole Chase | Occupational Therapist | 1416 N Church St, Mckinney, TX 75069-1806 | 2006-04-13 |
| Street Address |
465 N ROXBURY DR |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737070 | Roxsan Pharmacy, Inc | Pharmacy | 465 N Roxbury Dr, Beverly Hills, CA 90210-4206 | 2005-08-11 |
| 1427582246 | Oasis Anesthesia LLC | Nurse Anesthetist, Certified Registered | 465 N Roxbury Dr, Suite 1001, Beverly Hills, CA 90210-4206 | 2017-04-18 |
| 1881146298 | Bhc Surgical Group, Inc | Clinic/Center | 465 N Roxbury Dr, Suite 750, Beverly Hills, CA 90210-4206 | 2016-11-02 |
| 1265882161 | William J Rahal Md PC | General Acute Care Hospital | 465 N Roxbury Dr, Penthouse Suite, Beverly Hills, CA 90210-4206 | 2016-06-21 |
| 1770939951 | Randal Haworth | Surgery | 465 N Roxbury Dr, Suite 901, Beverly Hills, CA 90210-4206 | 2016-05-06 |
| 1053788786 | Roxsan Pharmacy, Inc. | Pharmacy | 465 N Roxbury Dr, Beverly Hills, CA 90210-4206 | 2015-08-28 |
| 1750763736 | Gabriel Gabbaypour,dds, Md, Inc | Clinic/Center | 465 N Roxbury Dr, Suite 815, Beverly Hills, CA 90210-4206 | 2015-06-25 |
| 1730583808 | 90210 Surgical Associates LLC | Clinic/Center | 465 N Roxbury Dr, Suite 1020, Beverly Hills, CA 90210-4206 | 2014-10-17 |
| 1508286717 | Josef Hadeed, Md, Inc | Plastic Surgery | 465 N Roxbury Dr, Suite 1020, Beverly Hills, CA 90210-4206 | 2014-04-27 |
| 1801224944 | Daniela Pavlin Dds Inc. | Dentist | 465 N Roxbury Dr, Suite 811, Beverly Hills, CA 90210-4206 | 2013-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121038 | Caitlin Pray | Physician Assistant | 250 N Robertson Blvd, Ste 506, Beverly Hills, CA 90211-1788 | 2016-05-04 |
| 1396122883 | James Michael Vandaele | Physician Assistant | 17877 W 14 Mile Rd, Beverly Hills, MI 48025 | 2015-05-04 |
| 1871983114 | Kristy Eumont | Physician Assistant | 462 N Linden Dr, Suite 240, Beverly Hills, CA 90212 | 2015-01-26 |
| 1265871727 | Megan A. Selig Physician Assistant Inc. | Physician Assistant | 9033 Wilshire Blvd, Suite 400, Beverly Hills, CA 90211-1837 | 2013-06-18 |
| 1811280324 | Natalie R Bricker | Physician Assistant | 8670 Wilshire Blvd, Suite # 202, Beverly Hills, CA 90211-2924 | 2011-05-17 |
| 1245548825 | Jerome L Hansen | Physician Assistant | 2155 W Mustang Blvd, Beverly Hills, FL 34465 | 2010-09-17 |
| 1043457344 | Dr Robert M Rey | Physician Assistant | 436 N Bedford Dr, Suite 304, Beverly Hills, CA 90210-4310 | 2009-01-08 |
| 1700909108 | Orla Stewart | Physician Assistant | 465 N Roxbury Dr, Ste 1001, Beverly Hills, CA 90210-4206 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
Please comment or provide details below to improve the information on NICOLE CHASE.
| 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.