NICOLE KATHLEEN NEWCOMB PA-C ASW NPI 1265864268

NPI Information

NPI: 1265864268
Provider Name: NICOLE KATHLEEN NEWCOMB, PA-C, ASW
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
278 TOWN CENTER PKWY
STE 105 (S90)
SANTEE, CA
ZIP 92071
Phone: (619) 713-7880
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Nicole Kathleen Newcomb, PA-C, ASW is a medical physician assistant in Santee, CA with 5 years of experience. Nicole Kathleen Newcomb, PA-C, ASW NPI is 1265864268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

278 TOWN CENTER PKWY
STE 105 (S90)
SANTEE, CA
ZIP 92071-800
Phone: (619) 713-7880

The NPI 1265864268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2013 and was last updated on 6/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	ASW62470	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	PA56882	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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