Carrie J. Nichols, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A83442 Issued in CA

Practice address

200 Mercy Circle
Family Medicine Dept
Camp Pendleton, CA 92058

Phone

(760) 719-3616

Fax

(760) 725-1101

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Emergency Physicians Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1770886558
  Medicare reassignment NPD
• Usc Family Medicine Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1386784031
  NPD (past) Authorized official
• Usc Family Medicine Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1316142516
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1407809189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "address_2": "FAMILY MEDICINE DEPT",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92058",
            "telephone_number": "760-719-3616",
            "fax_number": "760-725-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "address_2": "FAMILY MEDICINE DEPT",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92058",
            "telephone_number": "760-719-3616",
            "fax_number": "760-725-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "CARRIE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A83442",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A83442",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A834420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Hang Nguyen, RPH
• Huy C Nguyen, MD
• Son Phi Nguyen, DDS
• Tiffany Charlene Nguyen, PA
• NH Camp Pendleton
• Fred Gonzales Ninonuevo, PHD
• Chris Lynn Noblit, RD, CLC
• Katherine Noel, NP
• Aaron J Noordmans, DDS
• Caleb Noordmans, D.D.S.

• Family Medicine Physician in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.