NICKOLAS ALBERT TOMASIC (NPI# 1104875160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104875160 |
| Entity Type | Individual |
| Full Name | NICKOLAS ALBERT TOMASIC |
| Credential | M.D. |
| Practice Address |
8540 S Sepulveda Blvd # 911 Los Angeles CA 90045-3807 |
| Practice Telephone | 3106709119 |
| Practice Fax Number | 3106707282 |
| Mailing Telephone | 3106709119 |
| Mailing Fax Number | 3106707282 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G66614 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G666140 | 05 |
| Street Address |
8540 S SEPULVEDA BLVD # 911 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992738 | Ifeoma Stella Izuchukwu | Internal Medicine | 8540 S Sepulveda Blvd, Ste 116, Los Angeles, CA 90045-3819 | 2005-06-16 |
| 1770034159 | Danielle Alyse Brown | Dentist | 8540 S Sepulveda Blvd, 1102, Los Angeles, CA 90045-3807 | 2016-10-20 |
| 1346608676 | George B. Shinn Dds P.c | Dentist | 8540 S Sepulveda Blvd, #1200, Los Angeles, CA 90045-3807 | 2016-02-01 |
| 1770955809 | Benjamin Rosenberg, Dds Apc | Clinic/Center | 8540 S Sepulveda Blvd, Ste 1000, Los Angeles, CA 90045-3807 | 2015-10-28 |
| 1508245192 | Theodore Burnett, Dds, Inc | Dentist | 8540 S Sepulveda Blvd, Suite 918, Los Angeles, CA 90045-3807 | 2015-05-28 |
| 1902204621 | Richard Barry Feinstein | Dentist | 8540 S Sepulveda Blvd, Suite 1210, Los Angeles, CA 90045-3807 | 2014-12-11 |
| 1750787800 | Omid Vatan Dental Corp | Dentist | 8540 S Sepulveda Blvd, 108, Los Angeles, CA 90045-3807 | 2014-11-17 |
| 1265834121 | Sony Naing | Nurse Practitioner | 8540 S Sepulveda Blvd, Suite 818-a, Los Angeles, CA 90045-3807 | 2014-09-23 |
| 1790199370 | Andrew Leitner Md Inc | Anesthesiology | 8540 S Sepulveda Blvd, Suite 910, Los Angeles, CA 90045-3807 | 2014-06-11 |
| 1164859666 | Optimal Physical Therapy Inc | Physical Therapist | 8540 S Sepulveda Blvd, Ste 916, Los Angeles, CA 90045-3807 | 2013-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on NICKOLAS ALBERT TOMASIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.