James Arthur Nickelsen, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G51329 Issued in CA

Practice address

3010 Colby St
Ste 220
Berkeley, CA 94705-2091

Phone

(510) 644-2316

Fax

(510) 704-8346

NPI assigned

Dec 29, 2005

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1891772000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA",
            "address_2": "BLDG 2 STE 209",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-935-6252",
            "fax_number": "925-935-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "STE 220",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052091",
            "telephone_number": "510-644-2316",
            "fax_number": "510-704-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELSEN",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G51329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Rosenlicht MD Inc
• Donna Marie Nicholas, RN
• Michael Kiamos Nicholas, RN, MSN, PMHNP-BC
• Aliyah Nandi Nichols
• Camille Nichols, MFT
• Julie Anne Nickelsen, MD
• Ryan Nicolas
• Nicole Jae Sim Optometric, Inc (Walnut Square Optometry)
• Nicole Laby, MFT
• Nicole Melwani, Mot/L

• Allergy & Immunology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.