Active NPI
Nicholas A King, M.D.
- Orthopaedic Surgery Physician
- Arroyo Grande, CA
National Provider Identifier
1811970361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G85437
- Practice address
- 310 South Halcyon Road
Suite 106
Arroyo Grande, CA 93420-3863 - Phone
- (805) 574-1690
- Fax
- (805) 574-1691
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G85437 | CA | Primary |
Addresses
Primary practice location
310 South Halcyon Road
Suite 106
Arroyo Grande, CA 93420-3863
Mailing address
504 Plaza Dr
Santa Maria, CA 93454-6917
Phone (805) 739-3474
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G854370 | Other | CA | BLUE SHIELD PIN# |
| G85437 | Other | CA | BLUE CROSS |
| 7791583 | Other | CA | AETNA PIN |
| 486640100 | Other | CA | DEPT OF LABOR |
| 00G854370 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85437 | CA | MD | Pharmacist |
| G85437 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Marian Community Clinic
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
Orthopaedic Surgery
-
dba Monarch Village Health Center
- Community Health Clinic/Center
- Nipomo, CA
- NPI 1417555061
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1811970361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 PLAZA DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934546917",
"telephone_number": "805-739-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SOUTH HALCYON ROAD",
"address_2": "SUITE 106",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203863",
"telephone_number": "805-574-1690",
"fax_number": "805-574-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "NICHOLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G85437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PIN#",
"identifier": "00G854370",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G85437",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7791583",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "486640100",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G854370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.