NICOLAS LOUIS BOB NPI 1225697915

NPI Information

NPI: 1225697915
Provider Name: NICOLAS LOUIS BOB
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 447 N EL MOLINO AVE
PASADENA, CA
ZIP 91101
Phone: (626) 577-8480

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NPI Details

Nicolas Louis Bob is a student in an organized health care education training program in Pasadena, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicolas Louis Bob NPI is 1225697915. 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:

447 N EL MOLINO AVE
PASADENA, CA
ZIP 91101-403
Phone: (626) 577-8480

The enumeration date for this NPI number is 6/6/2019 and was last updated on 7/28/2023.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103T00000X	Psychologist		No
3	390200000X	Student in an Organized Health Care Education/Training Program		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8121	MEDICAID	CALIFORNIA

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: 11/21/2025

NPI Synchronization or Removal

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