MS. CHRISTINE DIANA NICOLL (NPI# 1396753430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396753430 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE DIANA NICOLL |
| Credential | M.D. |
| Practice Address |
4150 Clement St San Francisco CA 94121-1545 |
| Mailing Address |
4150 Clement St Chief of Staff (11) San Francisco CA 94121-1545 |
| Practice Telephone | 4157502047 |
| Mailing Telephone | 4157502047 |
| Mailing Fax Number | 4157502185 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0104X |
Pathology Specialization: Chemical Pathology |
G32846 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4150 CLEMENT ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850910 | Jeffrey Michael Zimmet | Internal Medicine | 4150 Clement St, San Francisco Va Medical Center, San Francisco, CA 94121-1545 | 2005-06-13 |
| 1386243954 | Jennifer Malcolm | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-23 |
| 1952908915 | Edmund Frank Lee | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-02 |
| 1982210332 | Nitya Simon | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-21 |
| 1063028959 | Man Lung Wu | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-16 |
| 1477167450 | Harold Hubert Burns IIi | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-07 |
| 1023621356 | Tishzly Rea Resuello | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-26 |
| 1740891530 | Shirley Shan | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-14 |
| 1790396448 | Nancy Kong | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-14 |
| 1972114833 | Theora Canonica | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 207ZP0104X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Chemical Pathology |
| A chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. This physician functions as a clinical consultant in the diagnosis and treatment of human disease. Chemical pathology entails the application of biochemical data to the detection, confirmation or monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245605781 | Faculty Physicians and Surgeons of Llusm | Pathology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2015-12-09 |
| 1972807683 | Amadeo Pesce | Pathology | 16981 Via Tazon, Suite F, San Diego, CA 92127-1645 | 2011-01-10 |
| 1518192079 | Delta Medical Group of Pathologists, Inc. | Pathology | 975 S Fairmont Ave, Conrad Building, Lodi, CA 95240-5118 | 2009-05-27 |
| 1770679268 | Keane Lai | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2006-10-04 |
| 1760414189 | David Allen Herold | Pathology | 3350 La Jolla Village Dr, Vamc San Diego 113, San Diego, CA 92161-0002 | 2006-07-07 |
| 1942231576 | David N Bailey | Pathology | 200 W Arbor Dr, Mail Code 8320, San Diego, CA 92103-9001 | 2006-07-05 |
| 1992734529 | Thomas Abel Drake | Pathology | 10833 Le Conte Ave, Chs B-186, Los Angeles, CA 90095-3075 | 2006-07-03 |
| 1437194131 | Kurt L Lundquist | Pathology | 3701 S Higuera St, Ste 200, San Luis Obispo, CA 93401-7462 | 2006-06-17 |
| City | SAN FRANCISCO |
| Zip Code | 94121 |
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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.