Michael Nova, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

A45588 Issued in CA

Practice address

5390 Camino Santander Apt 224
San Diego, CA 92130-6518

Phone

(858) 342-2160

NPI assigned

Sep 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1790407682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5390 CAMINO SANTANDER APT 224",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306518",
            "telephone_number": "858-342-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 CAMINO SANTANDER APT 224",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306518",
            "telephone_number": "858-342-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVA",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A45588",
            "primary": false
        },
        {
            "code": "246ZB0301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biomedical Engineering",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A45588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nourish With Josette LLC
• Nourished Rd Inc.
• Erik Nouvong
• Nayeli Joana Nova Fernandez
• Alan Steven Nova, D.O.
• Robert David Novack, AMFT APCC
• Novak Medical Group, Inc.
• Elizabeth Anne Novak, RN, L.AC.
• Erika Novak, L.AC.
• Nancy June Novak, RN

• Dermatopathology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.