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CLINTON R NICHOLS MD NPI 1750355657


NPI Information

NPI: 1750355657
Provider Name: CLINTON R NICHOLS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC

PECOS Registration: Yes

Address:
8745 AERO DRIVE
SUITE 200
SAN DIEGO, CA
ZIP 92123
Phone: (858) 565-0950
Get Directions

Clinton R Nichols, MD is a diagnostic radiology radiology in San Diego, CA with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Clinton R Nichols, MD NPI is 1750355657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

8745 AERO DRIVE
SUITE 200
SAN DIEGO, CA
ZIP 92123-774
Phone: (858) 565-0950
Fax: (858) 244-1100

The NPI 1750355657 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 2/15/2006 and was last updated on 10/9/2007.


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
12085B0100XRadiologyBody ImagingA71406CALIFORNIANo
22085U0001XRadiologyDiagnostic UltrasoundA71406CALIFORNIANo
32085N0700XRadiologyNeuroradiologyA71406CALIFORNIANo
42085N0904XRadiologyNuclear RadiologyA71406CALIFORNIANo
52085P0229XRadiologyPediatric RadiologyA71406CALIFORNIANo
62085R0203XRadiologyTherapeutic RadiologyA71406CALIFORNIANo
7208VP0014XPain MedicineInterventional Pain MedicineA71406CALIFORNIANo
8208VP0000XPain MedicinePain MedicineA71406CALIFORNIANo
92085R0204XRadiologyVascular & Interventional RadiologyA71406CALIFORNIANo
102085R0202XRadiologyDiagnostic RadiologyA71406CALIFORNIAYes

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
1TD009MEDICARE PINCALIFORNIA
2HW529MEDICARE PINCALIFORNIA
3W529AMEDICARE PINCALIFORNIA
4TP110MEDICARE PINCALIFORNIA
5HW529AMEDICARE PINCALIFORNIA
6ZZZ75341ZMEDICAIDCALIFORNIA
7GR0083813MEDICAIDCALIFORNIA
8I07791MEDICARE UPIN
9GR0083815MEDICAIDCALIFORNIA
10GR0083814MEDICAIDCALIFORNIA
11HW529BMEDICARE PINCALIFORNIA
12GR0083816MEDICAIDCALIFORNIA
13TD009BMEDICAIDCALIFORNIA
14W529MEDICARE PINCALIFORNIA
15GR0083817MEDICAIDCALIFORNIA
16GR0083812MEDICAIDCALIFORNIA
17GR083810MEDICAIDCALIFORNIA
18GR0083811MEDICAIDCALIFORNIA
19TD009AMEDICARE PINCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.