John E Nicolaisen (NPI# 1548666738, PAC ID# 8325062839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1548666738 |
| PAC ID by PECOS | 8325062839 |
| Professional Enrollment ID | I20160526002164 |
| Full Name | John E Nicolaisen |
| Organization Legal Name | PACIFIC DERMATOLOGY INSTITUTE |
| Address |
18523 Corwin Rd Suite G Apple Valley CA 92307-2300 |
| Phone Number | 7602423376 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062546260 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2300 | 7602423376 | PACIFIC DERMATOLOGY INSTITUTE |
| 255 Terracina Blvd, Suite 205c, Redlands, CA 92373-4870 | 9097932323 | PACIFIC DERMATOLOGY INSTITUTE |
| 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 | 9513542220 | PACIFIC DERMATOLOGY INSTITUTE |
| 1666 N Waterman Ave, San Bernardino, CA 92404-5113 | 9098864965 | PACIFIC DERMATOLOGY INSTITUTE |
| Organization Legal Name | PACIFIC DERMATOLOGY INSTITUTE |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Iryna O Kinzer | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Thomas G Munyon | Dermatology | Pacific Dermatology Institute | 1481 Ford St, Suite 102, Redlands, CA 92373-3917 |
| Leon Edward Schwartz | Dermatology | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Jonathan Philip Igo | Nurse Practitioner | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Britney E Kaufman | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Jessica M St Jules | Physician Assistant | Pacific Dermatology Institute | 2140 Grand Ave, Suite 260, Chino Hills, CA 91709-6806 |
| Tiffiny Suzanne Pizzifred | Nurse Practitioner | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Krystalee A Krey | Physician Assistant | Pacific Dermatology Institute | 255 Terracina Blvd, Suite 205c, Redlands, CA 92373-4870 |
| Vincent Roy Fowler | Dermatology | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Andrea Rose Wanless | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Street Address |
18523 CORWIN RD SUITE G |
| City | APPLE VALLEY |
| State | CA |
| Zip | 92307-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Chow | Orthopedic Surgery | Ultimate Sports and Orthopaedics | 18523 Corwin Rd, Suite D, Apple Valley, CA 92307-2300 |
| Katrina E Woodhall | Dermatology | Pacific Dermatology Institute | 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2300 |
| Dilip Kelekar | Orthopedic Surgery | 18523 Corwin Rd, Suite D, Apple Valley, CA 92307-2300 | |
| Mariela Hession | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 18523 Corwin Rd, Suite J, Apple Valley, CA 92307-2300 |
| Samuel H Rice | Orthopedic Surgery | Ultimate Sports and Orthopaedics | 18523 Corwin Rd, Suite D, Apple Valley, CA 92307-2300 |
| Paul A Stanton | Orthopedic Surgery | Ultimate Sports and Orthopaedics | 18523 Corwin Rd, Suite D, Apple Valley, CA 92307-2300 |
| Michael Norman | Internal Medicine | 18523 Corwin Rd, Suite E, Apple Valley, CA 92307-2300 | |
| Janardhana R Kolavala | Pulmonary Disease | Janardhana R Kolavala A Professional Corporation | 18523 Corwin Rd, Suite E, Apple Valley, CA 92307-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hala M Abdelaziz | Pathology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| David Tran | Internal Medicine | Meridian Urgent Care and Occupational Health Center A Professional Cor | 18522 Hwy 18 102, Apple Valley, CA 92307 |
| Purnima Thakran | Neurology | 18387 Hwy 18 1, Apple Valley, CA 92307 | |
| James C Krider | Family Medicine | 18182 Hwy 18, Suite 105, Apple Valley, CA 92307 | |
| Rajan H Karnani | Neurology | 18419 Hwy 18 1, Apple Valley, CA 92307 | |
| Anurag Sahai | Internal Medicine | 18095 Hwy 18 B, Apple Valley, CA 92307 | |
| Regina I Deluna | Pathology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| Melinda D Labuguen | Hematology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| Caroline G Yap | Pathology | Melinda D. Labuguen Md, Inc. | 18300 Hwy 18, Apple Valley, CA 92307 |
| Matthew D Leary | Chiropractic | 16049 Tuscola Rd, Suite B, Apple Valley, CA 92307-0824 | |
| Find all physicians in zip 92307 | |||
| City | APPLE VALLEY |
| Zip Code | 92307 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | APPLE VALLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on John E Nicolaisen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.