MIKE NICHOLS


Address: 14583 Big Basin Way, #2b, Saratoga, CA 95070-6072
Phone: 4086472130

MIKE NICHOLS (NPI# 1285896373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285896373
Entity Type Individual
Full Name MIKE NICHOLS
Credential M.D.
Practice Address 14583 Big Basin Way
#2b
Saratoga
CA 95070-6072
Practice Telephone 4086472130
Practice Fax Number 8883626713
Mailing Telephone 4086472130
Mailing Fax Number 8883626713
Enumeration Date 2008-06-30
Last Update Date 2009-05-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G49792 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 14583 BIG BASIN WAY
#2B
City SARATOGA
State CA
Zip Code 95070-6072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033267240 Sandra Kamiak Family Medicine 14583 Big Basin Way, Unit 3b, Saratoga, CA 95070-6072 2007-01-08

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396016465 Charles Fredrick Goodman General Practice 15256 Bellecourt, Saratoga, CA 95070-6407 2012-01-22
1245364397 Sheri L. Bortz General Practice 12224 Saratoga Sunnyvale Rd, Saratoga, CA 95070-3047 2007-03-14
1932484987 David G Wetterholt General Practice 12224 Saratoga Sunnyvale Rd, Saratoga, CA 95070-3047 2011-10-20
1336334721 Ac Medical General Practice 1848 Saratoga Ave, Bldg2 Ste5, Saratoga, CA 95070-6612 2007-09-10
1629020474 Anthony C. Wong General Practice 1848 Saratoga Ave, Bldg. 2, Saratoga, CA 95070-6612 2006-05-17

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Competitor

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City SARATOGA
Zip Code 95070

Improve Information

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Dataset Information

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.

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