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PETER W NICHOLS MD NPI 1104834142


NPI Information

NPI: 1104834142
Provider Name: PETER W NICHOLS, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
1441 EASTLAKE AVE
SUITE 2424
LOS ANGELES, CA
ZIP 90089
Phone: (323) 442-2582
Get Directions

Peter W Nichols, MD is an anatomic pathology and clinical pathology pathology in Los Angeles, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Peter W Nichols, MD NPI is 1104834142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1441 EASTLAKE AVE
SUITE 2424
LOS ANGELES, CA
ZIP 90089-112
Phone: (323) 442-2582
Fax: (323) 442-2588

The NPI 1104834142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 3/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyG38456CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W7801BMEDICARE PINCALIFORNIA
2HW7801AMEDICARE PINCALIFORNIA
3HW7801BMEDICARE PINCALIFORNIA
4WG38456EMEDICARE PINCALIFORNIA
5A47484MEDICARE UPINCALIFORNIA
6WG38456BMEDICARE PINCALIFORNIA
700G384560MEDICAIDCALIFORNIA
81952325565OTHERCALIFORNIAGROUP NPI
9WG38456DMEDICARE PINCALIFORNIA
1000G384560OTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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