Gregg Nielson, RVT

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

154435 Issued in CA

Practice address

4501 Birch St
Ste C
Newport Beach, CA 92660-1990

Phone

(805) 705-5003

NPI assigned

Nov 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Exper-Tech

  • Clinical Medical Laboratory
  • Torrance, CA
  • NPI 1104296268
  NPD Authorized official
• Exper-Tech

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1225434343
  NPD Authorized official

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1437555646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 LINDENCLIFF ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022710",
            "telephone_number": "805-705-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BIRCH ST",
            "address_2": "STE C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601990",
            "telephone_number": "805-705-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "GREGG",
        "credential": "RVT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-15",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "154435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas E. Rose, MD, Inc.
• Chelsie Nicholson
• Kathleen Anne Nickerson, PHD
• Nickul S. Jain MD, a Professional Corporation
• Odile Nicolette, LMFT
• Cecilia Nieto
• Nisa Nikbakht
• Kaveh Niknia, DDS
• Christopher G Nikolaidis, PHD
• Sean P Nikravan, MD

• Radiologic Technologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.