Active NPI
Christopher Michael Nicklo, HAD
- Hearing Instrument Specialist
- San Francisco, CA
National Provider Identifier
1902441298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 8558
- Practice address
- 450 Sutter St RM 1400
San Francisco, CA 94108-4003 - Phone
- (415) 362-2901
- NPI assigned
- Nov 11, 2019
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 8558 | CA | Primary |
Addresses
Primary practice location
450 Sutter St RM 1400
San Francisco, CA 94108-4003
Mailing address
5915 Taft Ave
Oakland, CA 94618-1740
Phone (510) 654-7548
Other practice location 1
2100 Webster St Ste 202
San Francisco, CA 94115-2375
Phone (415) 362-2901
Other practice location 2
752 Broadway
Sonoma, CA 95476-7011
Phone (415) 362-2901
Other practice location 3
2250 Hayes St Ste 612
San Francisco, CA 94117-1078
Phone (415) 362-2901
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8558 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573430400000",
"number": "1902441298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 TAFT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181740",
"telephone_number": "510-654-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SUTTER ST RM 1400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941084003",
"telephone_number": "415-362-2901"
}
],
"practiceLocations": [
{
"address_1": "2100 Webster St Ste 202",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941152375",
"country_code": "US",
"telephone_number": "415-362-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "752 Broadway",
"address_purpose": "LOCATION",
"city": "Sonoma",
"state": "CA",
"postal_code": "954767011",
"country_code": "US",
"telephone_number": "415-362-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 Hayes St Ste 612",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941171078",
"country_code": "US",
"telephone_number": "415-362-2901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKLO",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-11",
"last_updated": "2019-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "8558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.