Lawrence Martin Nichols, M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A23444 Issued in CA

Practice address

5471 La Palma Ave
Ste. 202
La Palma, CA 90623-1745

Phone

(714) 522-2041

Fax

(714) 522-8246

NPI assigned

Sep 12, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27404/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1003001017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE",
            "address_2": "STE. 202",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231745",
            "telephone_number": "714-522-2041",
            "fax_number": "714-522-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE",
            "address_2": "STE. 202",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231745",
            "telephone_number": "714-522-2041",
            "fax_number": "714-522-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LAWRENCE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A23444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Nguyen, O.D.
• Katrina Tam-Anh Nguyen
• Peter Nguyen, DO
• Phuong Nguyen, PHARM.D
• Vina Nguyen
• Vijaya Rekha Nimmakuri
• Brandon Didier Nogales Diaz de Leon
• Sinae Noh
• Norman Kuo MD PHD Professional Corporation
• North Valley MRI Imaging Inc

• Dermatology Physician in La Palma, CA
• Providers in La Palma, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.