Harry Herman Nickle, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G45071 Issued in CA

Practice address

1669 W Avenue J
Suite 301
Lancaster, CA 93534-2866

Phone

(661) 723-3244

Fax

(661) 723-3504

NPI assigned

Feb 23, 2007

Last updated

Sep 13, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Infectious Diseases Consultants

  • Infectious Disease Physician
  • Las Vegas, NV
  • NPI 1912035544
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1144356460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MARTEL AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466611",
            "telephone_number": "323-436-5019",
            "fax_number": "323-337-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W AVENUE J",
            "address_2": "SUITE 301",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342866",
            "telephone_number": "661-723-3244",
            "fax_number": "661-723-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLE",
        "first_name": "HARRY",
        "middle_name": "HERMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G45071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tam T Nguyen
• Tien Nguyen
• Trung Hoang Nguyen, O.D.
• Richard William Nicholson Jr., RN
• Nick and Normas No Child Left Behind Fund (Meals in Motion)
• Brenda Nieto
• Rene Nieves
• Aki Niihara, M.D.
• Niknam & Khanian Dental Practice, Inc. (All Family Dental Care)
• Sheryl Rufino Nim, OTR/L

• Infectious Disease Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.