Elena Nicola, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA21612 Issued in CA

Practice address

29798 Haun Rd
Suite 104
Sun City, CA 92586-6541

Phone

(951) 672-3332

NPI assigned

Sep 20, 2006

Last updated

Jun 8, 2012By the provider in NPPES

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bill L. Jou, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Temecula, CA
  • NPI 1902957640
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1740388370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 104",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-672-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 104",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-672-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "ELENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nguyen Medical Group Inc Apc
• Brian Linh Nguyen, M.D.
• David H Nguyen, MD
• Stephen H Nguyen, MD
• Thang D Nguyen, MD
• Ofa Vale, Inc. (Sarahs Assisted Living)
• Oscar a Matthews M.D. (Mission Heart & Vascular Clinic,INC.)
• Jessica1 Otte, RBT
• John Overman, M.D.
• Pacifica Menifee Valley Opco LP (Menifee Senior Living)

• Medical Physician Assistant in Sun City, CA
• Providers in Sun City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.