Carol Elizabeth Nicholson, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

G42568 Issued in CA

Practice address

6461 Zuma View PL
#149
Malibu, CA 90265-4495

Phone

(310) 457-5660

NPI assigned

Feb 26, 2009

Last updated

Feb 26, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1588804801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6461 ZUMA VIEW PL",
            "address_2": "#149",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654495",
            "telephone_number": "310-457-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6461 ZUMA VIEW PL",
            "address_2": "#149",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654495",
            "telephone_number": "310-457-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "G42568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariella Aliza Morrow, MD, MPH
• Jose Ricardo Mottos, LCSW
• Sarah Murphy, N.D.
• Jeffrey Edward Nalin, PSY.D.
• Michelle Morgan Nealey, OTR/L
• Beata A Nickel, MD, PHD
• David C Niebergall, DDS INC
• Gregory Michael O'Connor, O.D.
• Amanda Leigh O'Hare, PHARMD
• Oceanside Transitional Living in Malibu

• Pediatric Critical Care Medicine Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Pediatric Critical Care Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.