Nicolas Dennis Vlachakis, M.D.

Primary specialty

Public Medicine PodiatristTaxonomy code 213EP0504X

License

CFE37623 Issued in CA

Practice address

2378 Tanoble Dr
Altadena, CA 91001-2730

Phone

(626) 794-8874

Fax

(626) 794-8874

NPI assigned

Mar 21, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicolas Dennis Vlachakis Professional name

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1790050896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 TANOBLE DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012730",
            "telephone_number": "626-794-8874",
            "fax_number": "626-794-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 TANOBLE DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012730",
            "telephone_number": "626-794-8874",
            "fax_number": "626-794-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLACHAKIS",
        "first_name": "NICOLAS",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "CA",
            "license": "CFE37623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLAS",
            "last_name": "VLACHAKIS",
            "middle_name": "DENNIS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Alissa Christine Villanueva
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• Rachel Anne Wallace
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• Podiatrist in Altadena, CA
• Providers in Altadena, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.