Nicole T. Allaire, D.O.

Individual provider Active NPI Pediatrics Physician · Martinez, CA

NPI 1245433358 · NPPES record last updated Jan 18, 2013

Key facts

NPI
1245433358
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
20A10019 (CA)
Practice address
2500 Alhambra Ave
Martinez, CA 94553-3156
Phone
(925) 370-5115
Fax
(925) 370-5142
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10019CAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A10019 CA Yes

Addresses

Primary practice location

2500 Alhambra Ave
Martinez, CA 94553-3156

Mailing address

2500 Alhambra Ave
Martinez, CA 94553-3156
Phone (925) 370-5115

Other names

  • Nicole Q. Tran Former name

Other providers in Martinez, CA

All providers in Martinez, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.