EDWARD L NICHOLS MD A MEDICAL CORPORATION (NPI# 1386898815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386898815 |
| Entity Type | Organization |
| Organization Name | EDWARD L NICHOLS MD A MEDICAL CORPORATION |
| Practice Address |
3801 San Dimas St Bakersfield CA 93301-5731 |
| Practice Telephone | 6613238477 |
| Mailing Telephone | 6613238477 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | DR. EDWARD LEE NICHOLS (OWNER) |
| Authorized Official Telephone | 6613238477 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A044178 | 01 |
| Street Address |
3801 SAN DIMAS ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932149283 | San Joaquin Valley Pulmonary Group | Hospitalist | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2006-06-07 |
| 1215535356 | Joaquin Medical Group | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2020-10-12 |
| 1255724514 | Christopher Rand Gardiner | Physician Assistant | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2015-03-11 |
| 1790178440 | Clayton Blankenship | Nurse Practitioner | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2015-03-05 |
| 1639587579 | Julie Christine Pruett | Nurse Practitioner | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2014-07-23 |
| 1477805554 | Trevor D. Williams | Physician Assistant | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2012-10-12 |
| 1700028792 | Meenakshi Sachdeva | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2009-04-06 |
| 1639347248 | Kathy Jo Robb | Nurse Practitioner | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2008-02-16 |
| 1558372896 | Edward L Nichols | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2006-08-11 |
| 1033137591 | Mushtaq Ahmed | Internal Medicine | 3801 San Dimas St, Bakersfield, CA 93301-5731 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1932749108 | Vanguard Medical Corporation | Clinic/Center | 500 Old River Rd Ste 250, Bakersfield, CA 93311-9515 | 2020-01-15 |
| 1790160539 | Aimee Marie Franco | Clinic/Center | 6112 Tahitian Pearl Dr, Bakersfield, CA 93313-5326 | 2015-07-22 |
| 1265853295 | Personalized Family Medicine, Inc. | Clinic/Center | 2308 Haggin Oaks Blvd, Bakersfield, CA 93311-1563 | 2013-12-17 |
| 1255619375 | El Dorado Community Service Center | Clinic/Center | 609 E 18th St, Bakersfield, CA 93305-5616 | 2011-07-22 |
| 1205165107 | Central Medical Group, Inc. | Clinic/Center | 9500 Stockdale Hwy #200, Bakersfield, CA 93311 | 2009-12-24 |
| 1821292012 | San Michael Pediatrics Inc | Clinic/Center | 3612 Coffee Rd Ste C, Bakersfield, CA 93308-5027 | 2007-06-12 |
| 1295895522 | Ajitpal S. Tiwana,m.d.,inc. | Clinic/Center | 2700 F St, #100, Bakersfield, CA 93301-1848 | 2006-12-08 |
| 1518036037 | El Dorado Community Service Center | Clinic/Center | 1010 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-07 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on EDWARD L NICHOLS MD A MEDICAL CORPORATION.
| 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.