NICHOLAS A NELSON (NPI# 1497397780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497397780 |
| Entity Type | Individual |
| Full Name | NICHOLAS A NELSON |
| Practice Address |
940 Avenue 64 Pasadena CA 91105-2711 |
| Practice Telephone | 3235432800 |
| Practice Fax Number | 3239781263 |
| Mailing Telephone | 3235432800 |
| Mailing Fax Number | 3239781263 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1184252611 | Nicholas Patrick Nelson | Student in an Organized Health Care Education/Training Program | 1000 N Lee Ave Rm 1980, Oklahoma City, OK 73102-1036 | 2020-03-30 |
| 1093210395 | Nicholas Jon Nelson | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2018-03-28 |
| 1124537998 | Nicholas Roy Nelson | Physician Assistant | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2017-09-25 |
| 1811342371 | Nicholas Ryan Nelson | Student in an Organized Health Care Education/Training Program | 200 N Greensboro St, Carrboro, NC 27510-1833 | 2016-05-03 |
| 1699160671 | Nicholas John Nelson | Radiology | 1633 N Capitol Ave Methodist Medical Tower, Ste 640, Indianapolis, IN 46202-1261 | 2015-04-06 |
| 1396133211 | Nicholas Gene Nelson | Physical Therapist | 3919 W Foster Ave, Chicago, IL 60625-6056 | 2014-12-30 |
| 1558768010 | Nicholas Marsh Nelson | Pharmacist | 5901 Nw 39th St, Warr Acres, OK 73122-2015 | 2014-11-28 |
| 1164701843 | Nicholas Anthony Nelson | Internal Medicine | 1411 E 31st St, Department of Medicine, Oakland, CA 94602-1018 | 2011-08-11 |
| 1962716357 | Nicholas Michael Nelson | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2010-07-28 |
| Street Address |
940 AVENUE 64 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790860039 | Robert R. Howard | Social Worker | 940 Avenue 64, Pasadena, CA 91105-2711 | 2006-10-26 |
| 1225639453 | Cinnamon Raykel Mccellen | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-11-04 |
| 1285234401 | Paulette Koss | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1497355614 | Taqwa Ramadan | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1801496013 | Tiffany Rose Garcia | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-27 |
| 1518566728 | Courtney Bre'ann Oaties | Licensed Vocational Nurse | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-19 |
| 1598364713 | Anna Darlene Roberts | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-10-19 |
| 1861009078 | Bianca J Russell | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| 1609483817 | Estephany Olivos | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| 1417564626 | Raul Carreon | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
| 1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
| 1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
| 1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
| Find all providers in PASADENA | ||||
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| 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.