Nickolas Peter Grimes, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E6064 Issued in CA

Practice address

310 S Halcyon Rd
Arroyo Grande, CA 93420-3872

Phone

(510) 917-2334

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott E Adams DPM IncGroup PAC ID 3577577733, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
• Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
• Superior Home Health Home health agency, Lompoc, CA, CCN 559004
• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Scott E Adams DPM Inc

  • Podiatrist
  • Arroyo Grande, CA
  • NPI 1487648697

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Nickolas Grimes, DPM, Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Arroyo Grande, CA
  • NPI 1720962715
  NPD Authorized official
• Scott E. Adams, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1245609270
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Coast Home Health Inc

  • Home Health Agency
  • San Luis Obispo, CA
  • NPI 1609044924
  Care Compare affiliation
• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • Home Health Agency
  • Santa Maria, CA
  • NPI 1225184963
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Iaatk Inc

  • Home Health Agency
  • Lompoc, CA
  • NPI 1750834719
  Care Compare affiliation

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1013594308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DAISY ST",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940709",
            "telephone_number": "949-291-6369",
            "fax_number": "949-388-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "510-917-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "NICKOLAS",
        "middle_name": "PETER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-06-13",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley A Goodman, M.A., CCC-SLP
• Diana Christina Granados, M.A.
• Emily Dai Granger
• Patricia Jude Grant, MA, CCC, COM
• Gregory S Pritchett, DDS Inc
• James Guerra, P.T.
• Jessica Lynn Gust, MS, RDN
• Halcyon Laser & Surgery Center, Inc.
• Arlan Hall
• Donald R Halsey

• Foot & Ankle Surgery Podiatrist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.