Individual provider Active NPI

Gigi Nickas, MD

  • Hospitalist Physician
  • Emeryville, CA
National Provider Identifier
1710907274
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
G80232 Issued in CA
Practice address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone
(510) 851-7501
Fax
(510) 851-7446
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G80232 CA
Hospitalist Physician 208M00000X G80232 CA Primary

Addresses

Primary practice location

2100 Powell St Ste 400
Emeryville, CA 94608-1872

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 851-7501

Other identifiers 1

IdentifierTypeStateIssuer
00802320MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080107000388 CA Practitioner - HospitalistPractitioner - Internal Medicine 1759312903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Vituity Hospitalists PCGroup PAC ID 2567714090, 78 clinicians

Practice addresses (Care Compare)

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 546-7600

1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone (805) 543-5353

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80232CAMDPharmacist
G80232CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Hospital Medicine of California Inc Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Central Coast Chest Consultants a Medical Corporation Internal Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1710907274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-851-7501",
            "fax_number": "510-851-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-851-7501",
            "fax_number": "510-851-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKAS",
        "first_name": "GIGI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80232",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G80232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.