David W Nicholls (NPI# 1215940952, PAC ID# 4385821537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1215940952 |
| PAC ID by PECOS | 4385821537 |
| Professional Enrollment ID | I20161111001678 |
| Full Name | David W Nicholls |
| Organization Legal Name | MOODY CUMMINGS BALASANIAN AND CAPUTO DDS INC |
| Address |
26302 La Paz Rd Suite 102 Mission Viejo CA 92691-5327 |
| Phone Number | 9495867000 |
| Gender | M |
| Medical School | UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY |
| Graduation Year | 1985 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 5395639066 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 26302 La Paz Rd, Suite 102, Mission Viejo, CA 92691-5327 | 9495867000 | MOODY CUMMINGS BALASANIAN AND CAPUTO DDS INC |
| Organization Legal Name | MOODY CUMMINGS BALASANIAN AND CAPUTO DDS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eduard Balasanian | Oral Surgery | Moody Cummings Balasanian and Caputo Dds Inc | 360 San Miguel Dr, Suite 402, Newport Beach, CA 92660-7830 |
| David Cummings | Maxillofacial Surgery | Moody Cummings Balasanian and Caputo Dds Inc | 360 San Miguel Dr, Suite 402, Newport Beach, CA 92660-7830 |
| Jeffrey M Caputo | Oral Surgery | Moody Cummings Balasanian and Caputo Dds Inc | 360 San Miguel Dr, Suite 402, Newport Beach, CA 92660-7830 |
| Street Address |
26302 LA PAZ RD SUITE 102 |
| City | MISSION VIEJO |
| State | CA |
| Zip | 92691-5327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Newton | Physical Therapy | California Rehab and Sports Therapy | 26302 La Paz Rd, Suite 105, Mission Viejo, CA 92691-5327 |
| Kristina L Roberts | Psychologist, Clinical | 26302 La Paz Rd, Suite 201, Mission Viejo, CA 92691-5328 | |
| Elizabeth S Hoefer | Chiropractic | 26302 La Paz Rd, Suite 214, Mission Viejo, CA 92691-5328 | |
| Bruce M Seligsohn | Internal Medicine | 26302 La Paz Rd, Suite 211, Mission Viejo, CA 92691-5328 | |
| James N Vartanian | Oral Surgery | 26302 La Paz Rd, Suite 203, Mission Viejo, CA 92691-5328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Kim | Neurology | Neuralview Medical Group PC | 27246 Villanueva, Mission Viejo, CA 92691-2139 |
| Kim C Till | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Abigail Mecham | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Daniel Kanoa Bever | Physical Therapy | Southland Physical Therapy Inc | 25565 Jeronimo Rd, Mission Viejo, CA 92691-2707 |
| Marina A Ball | Dermatology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Kevin R Yuhan | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| My-lan Le-nguyen | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Keith J Pince | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Pauline Chang Uehara | Optometry | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Michael Kim | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Find all physicians in zip 92691 | |||
| City | MISSION VIEJO |
| Zip Code | 92691 |
| Specialty | ORAL SURGERY |
| City + Specialty | MISSION VIEJO + ORAL SURGERY |
Please comment or provide details below to improve the information on David W Nicholls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.