NPIMap

Organization Active NPI

Lawrence M Nichols MD Inc

  • Dermatology Physician
  • La Palma, CA
National Provider Identifier
1023106846
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A23444 Issued in CA
Legal business name
LAWRENCE M NICHOLS MD INC
Practice address
5471 La Palma Ave
Suite 202
La Palma, CA 90623-4700
Phone
(714) 522-2041
Fax
(714) 522-8246
NPI assigned
Oct 10, 2006
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Dr. Lawrence Martin Nichols, MDNPI 1003001017
Title
President
Phone
(714) 522-2041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X A23444 CA Primary

Addresses

Primary practice location

5471 La Palma Ave
Suite 202
La Palma, CA 90623-4700

Mailing address

5471 La Palma Ave
Suite 202
La Palma, CA 90623-4700
Phone (714) 522-2041

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1023106846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE",
            "address_2": "SUITE 202",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906234700",
            "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": "SUITE 202",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906234700",
            "telephone_number": "714-522-2041",
            "fax_number": "714-522-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M NICHOLS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-522-2041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A23444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • 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.