Nicole Termonfils, PA-C, MPH

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

58456 Issued in CA

Practice address

1 Saint Vincents Dr
San Rafael, CA 94903-1504

Phone

(415) 507-2000

NPI assigned

Sep 22, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1407225279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 GRIFFIN WAY",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949281577",
            "telephone_number": "415-246-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENTS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031504",
            "telephone_number": "415-507-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERMONFILS",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "58456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radka Varimezova Temnitzer, DDS
• Page Tenley, PA-C
• Eric F. Tepper, MD
• Linda Terada-Yamamoto, PHARMD
• Carol Tereszkiewicz, MD
• Terra Linda Medical Group
• Terra Linda Pediatrics
• Melissa Tervet-Da Cunha, MFT
• Kelly Terzis
• Arinn Ashley Testa, PSYD

• Medical Physician Assistant in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.