Joshua Niclas, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A066972 Issued in CA

Practice address

2060 Fairmont Dr
San Leandro, CA 94578-1001

Phone

(510) 346-1365

Fax

(510) 346-7515

NPI assigned

Jan 25, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.17 of 100Reported as group

Quality

86.93

Promoting interoperability

100

Improvement activities

40

Cost

72.6

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jniclas12434@alamedahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment NPD
• Contra Costa County

  dba West County Adult Mental Health Services

  • Adult Mental Health Clinic/Center
  • San Pablo, CA
  • NPI 1376620336
  Medicare reassignment
• Alameda Health System

  dba Newark Health Center

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Schuman-Liles Clinic, Inc

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1164555660
  NPD (past)
• Schuman-Liles Clinic, Inc

  • Psychiatry Physician
  • Oakland, CA
  • NPI 1861568909
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013063999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 FAIRMONT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781001",
            "telephone_number": "510-346-1365",
            "fax_number": "510-346-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 FAIRMONT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781001",
            "telephone_number": "510-346-1365",
            "fax_number": "510-346-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICLAS",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A066972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Nicholas
• Bri-Anna Elice Nicholson
• Timothy Mark Nickell, MHRS
• Elizabeth L. Nickels, M.A., PSY.D.
• Kalene Nickelson, ASW
• Brittany Nielsen
• Berenice Alejandrina Nieto, IBCLC
• Pamela Nieto
• Margarita Nieves
• Heli T Nikulainen, PHD

• Psychiatry Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.