FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION (NPI# 1417255316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417255316 |
| Entity Type | Organization |
| Organization Name | FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION |
| Practice Address |
13160 Mindanao Way Ste 300 Marina Del Rey CA 90292-6358 |
| Practice Telephone | 3105740487 |
| Mailing Telephone | 3105740487 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |
| Authorized Official Name | FREDERIC NICOLA (PRESIDENT) |
| Authorized Official Telephone | 3105740487 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERIC G NICOLA, MD, A PROFESSIONAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417254459 | Frederic G Nicola, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2011-02-25 |
| Street Address |
13160 MINDANAO WAY STE 300 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742813 | Terry David Krekorian | Anesthesiology | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2005-06-29 |
| 1760984033 | Providence Healthcare Inc | Orthopaedic Surgery | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2018-03-02 |
| 1487102836 | Disc Physician Group | Surgery | 13160 Mindanao Way, Suite 170, Marina Del Rey, CA 90292-6358 | 2016-09-14 |
| 1215329370 | Holley Alexander Spears | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6393 | 2015-02-26 |
| 1184049132 | Jeremy Scott Summers | Chiropractor | 13160 Mindanao Way, Suite 308, Marina Del Rey, CA 90292-6358 | 2014-02-27 |
| 1851736615 | Melamed Spine LLC | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2013-05-07 |
| 1073874863 | David Kaplowitz | Internal Medicine | 13160 Mindanao Way, Suite 252, Marina Del Rey, CA 90292-6358 | 2012-06-07 |
| 1134498777 | Lisa Anne Penny | Marriage & Family Therapist | 13160 Mindanao Way, #300, Marina Del Rey, CA 90292-6358 | 2011-12-28 |
| 1922307669 | Gary Brazina Md Inc. | Non-Pharmacy Dispensing Site | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2011-03-21 |
| 1346548690 | Layla Nina Sotoodeh | Physician Assistant | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831400902 | Jonathan Frank | Orthopaedic Surgery | 13700 Marina Pointe Dr Unit 431, Marina Del Rey, CA 90292-9277 | 2010-06-23 |
| 1972503431 | Anthony Joseph Zoppi | Orthopaedic Surgery | 4644 Lincoln Blvd, Ste #101, Marina Del Rey, CA 90292-6621 | 2005-07-27 |
| 1942776307 | Alexis E. Dixon, Md, Inc | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2018-10-23 |
| 1760984033 | Providence Healthcare Inc | Orthopaedic Surgery | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2018-03-02 |
| 1184134892 | Marina Ortho, Inc. | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2017-10-08 |
| 1154692507 | Eleby R. Washington IIi Md PC | Orthopaedic Surgery | 4644 Lincoln Blvd, Suite 101, Marina Del Rey, CA 90292-6313 | 2012-01-17 |
| 1306073838 | Rojeh Melikian | Orthopaedic Surgery | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292 | 2009-06-11 |
| 1356575625 | Andrzej Bulczynski M.d., Inc. | Orthopaedic Surgery | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292 | 2009-05-14 |
| 1407095649 | Antoine Roberts M.d., Inc | Orthopaedic Surgery | 4644 Lincoln Blvd, Marina Del Rey, CA 90292-6313 | 2009-02-11 |
| 1700021946 | Louis James Volpicelli, M.d. Inc. | Orthopaedic Surgery | 4560 Admiralty Way, Suite 201, Marina Del Rey, CA 90292 | 2008-12-02 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on FREDERIC G NICOLA, MD, A PROFESSIONAL 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.