Individual provider Active NPI

Nicholas Eugene Nomicos, M.D.

  • General Practice Physician
  • Chowchilla, CA
National Provider Identifier
1235164898
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A49055 Issued in CA
Practice address
101 N Front St Ste B
Chowchilla, CA 93610
Phone
(559) 201-9181
Fax
(559) 201-9395
NPI assigned
Jul 12, 2006
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A49055 CA Primary

Addresses

Primary practice location

101 N Front St Ste B
Chowchilla, CA 93610

Mailing address

14425 Spyglass Cir
Chowchilla, CA 93610-7907
Phone (559) 363-0708

Other practice location 1

2275 F St Ste 1&2
Livingston, CA 95334-1778
Phone (209) 394-3800

Other practice location 2

5320 Highway 49 N
Mariposa, CA 95338-9588
Phone (209) 966-2344

Other practice location 3

489 5th St
Gustine, CA 95322-1514
Phone (209) 854-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000479 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 0345215653
I20181005000732 CA Practitioner - Family Practice 0345215653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49055CAMDMarriage & Family Therapist
A49055CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Michigan Em-I Medical Services, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicholas.nomicos@3856.securemail.prognocis.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1235164898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14425 SPYGLASS CIR",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936107907",
            "telephone_number": "559-363-0708",
            "fax_number": "888-376-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FRONT ST STE B",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "93610",
            "telephone_number": "559-201-9181",
            "fax_number": "559-201-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 F St Ste 1&2",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "CA",
            "postal_code": "953341778",
            "country_code": "US",
            "telephone_number": "209-394-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5320 Highway 49 N",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "953389588",
            "country_code": "US",
            "telephone_number": "209-966-2344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 5th St",
            "address_purpose": "LOCATION",
            "city": "Gustine",
            "state": "CA",
            "postal_code": "953221514",
            "country_code": "US",
            "telephone_number": "209-854-3728",
            "fax_number": "209-408-1367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOMICOS",
        "first_name": "NICHOLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A49055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chowchilla, CA

Sources for this page

Verify at the official NPI Registry.