Active NPI
Nicholas Eugene Nomicos, M.D.
- General Practice Physician
- Chowchilla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A49055
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831000479 | CA | Practitioner - General Practice | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49055 | CA | MD | Marriage & Family Therapist |
| A49055 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Michigan Em-I Medical Services, P.C. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
- Emergency Medicine Physician
- Dowagiac, MI
- NPI 1588603484
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.