Active NPI
John A Nicola, DC
- Chiropractor
- Carson, CA
National Provider Identifier
1477632644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC013627
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC013627 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Independent Medical Examiner Chiropractor
- San Pedro, CA
- NPI 1841519717
-
- Acupuncturist
- San Pedro, CA
- NPI 1528418068
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.