Nicole Learned, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

130347 Issued in CA

Practice address

5 Bon Air Rd Ste 105
Larkspur, CA 94939-1137

Phone

(415) 461-0440

NPI assigned

Apr 25, 2012

Last updated

Aug 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: nlearned@tampeds.pcc-direct.com
• Direct secure messaging: nlearned49275@direct-ucsfmedicalcenter.org

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.

• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Otolaryngology

  • Otolaryngology Physician
  • San Francisco, CA
  • NPI 1154396208
  Medicare reassignment NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Division of Vascular Surgery

  • Vascular Surgery Physician
  • San Francisco, CA
  • NPI 1033913959
  NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Medicine

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1306811930
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1407114606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391137",
            "telephone_number": "415-461-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391137",
            "telephone_number": "415-461-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Vintage Way",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455004",
            "country_code": "US",
            "telephone_number": "415-892-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEARNED",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "130347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Marie Blake Lamont, ND
• Larkspur Landing Optometric Corporation (Larkspur Landing Optometry)
• Larkspur Landing Optometry
• Donald L Lazzaretto, PHARM D
• Deborah Ann Leal, N.P-F
• John Sungchull Lee, MD
• Stewart Lin, DPT
• Beth Linderborg, RN
• Brigette Lofholm, PHARMD
• Rebecca Lofholm

• Pediatrics Physician in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.

Verify at the official NPI Registry.