DR. JAMES ARTHUR NICKELSEN M.D. NPI 1891772000

NPI Information

NPI: 1891772000
Provider Name: DR. JAMES ARTHUR NICKELSEN, M.D.
Classification: Allergy & Immunology - 207K00000X
Entity Type: Individual
Address:
3010 COLBY ST
STE 220
BERKELEY, CA
ZIP 94705
Phone: (510) 644-2316
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DR. James Arthur Nickelsen, M.D. is an allergy immunology in Berkeley, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DR. James Arthur Nickelsen, M.D. NPI is 1891772000. 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:

3010 COLBY ST
STE 220
BERKELEY, CA
ZIP 94705-091
Phone: (510) 644-2316
Fax: (510) 704-8346

The enumeration date for this NPI number is 12/29/2005 and was last updated on 12/22/2011.

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	207K00000X	Allergy & Immunology		G51329	CALIFORNIA	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	A51971	MEDICARE UPIN	CALIFORNIA
2	00G513290	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

NPI Synchronization or Removal

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