Individual provider Active NPI

John A Nicola, DC

  • Chiropractor
  • Carson, CA
National Provider Identifier
1477632644
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC013627 Issued in CA
Practice address
441 E Carson St
Ste K
Carson, CA 90745-7713
Phone
(310) 830-1766
Fax
(310) 830-1786
NPI assigned
Nov 6, 2006
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC013627 CA Primary

Addresses

Primary practice location

441 E Carson St
Ste K
Carson, CA 90745-7713

Mailing address

441 E Carson St
Ste K
Carson, CA 90745-7713
Phone (310) 830-1766

Other names 1

  • John A Nicola Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC013627CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marine Therapeutic Past Accepting new patients
Pourteymoor Acupuncture, a Professional Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1477632644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E CARSON ST",
            "address_2": "STE K",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457713",
            "telephone_number": "310-830-1766",
            "fax_number": "310-830-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E CARSON ST",
            "address_2": "STE K",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457713",
            "telephone_number": "310-830-1766",
            "fax_number": "310-830-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC013627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "NICOLA",
            "middle_name": "A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.