Nicholas Collins Pac Lac Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

NICHOLAS COLLINS PAC LAC INC

Practice address

3433 Brunell Dr
Oakland, CA 94602

Phone

(510) 847-0879

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Nicholas Xeno-Gallas Collins, PA-C LAC.

Title

Ceo

Phone

(510) 847-0879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1376151845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BRUNELL DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-847-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BRUNELL DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-847-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS COLLINS PAC LAC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "XENO-GALLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-847-0879",
        "authorized_official_credential": "PA-C LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vy Hanh Nguyen, DO
• Yen Hoang Nguyen, M.D.
• Jacqueline Nhok I, B.A.
• Elizabeth Niarhos
• Abid Niazi
• Nicholas Hack Psychotherapy, Inc.
• Chelsea S Nicholas, PT
• Czar Nicholas
• D. Jeanette Nichols
• Scott Lee Nickell, MSN, FNP

• Acupuncturist in Oakland, CA
• Providers in Oakland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.