DR. LAWRENCE MARTIN NICHOLS M.D NPI 1003001017

Dermatology in La Palma, CA

About LAWRENCE NICHOLS

Lawrence Nichols is a provider in La Palma, CA. The NPI number assigned to this provider is 1003001017. The practitioner's primary taxonomy code is Dermatology (207N00000X). The provider is registered as an individual and their NPI record was last updated 8 years ago. Lawrence Nichols is registered with Medicare.

NPI

1003001017

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. LAWRENCE MARTIN NICHOLS M.D
Provider Location Address5471 LA PALMA AVE STE. 202 LA PALMA, CA 90623 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5471 LA PALMA AVE STE. 202 LA PALMA, CA 90623 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-23-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code207N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.A23444
License StateCA
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

DR. LAWRENCE MARTIN NICHOLS M.D
5471 LA PALMA AVE
STE. 202
LA PALMA, CA
ZIP 90623
Phone: (714) 522-2041
Fax: (714) 522-8246

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Mailing Address

DR. LAWRENCE MARTIN NICHOLS M.D
5471 LA PALMA AVE
STE. 202
LA PALMA, CA
ZIP 90623
Phone: (714) 522-2041
Fax: (714) 522-8246

Medicare Participation

Registered in PECOS? Yes Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2016. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 4592Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 121Destruction of 2-14 skin growths (HCPCS:17003)
  • 87Destruction of up to 14 skin growths (HCPCS:17110)
  • 84Destruction of skin growth (HCPCS:17000)
  • 26Biopsy of single growth of skin and/or tissue (HCPCS:11100)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D1705ZMEDICARE PIN (08)CA

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023106846LAWRENCE M NICHOLS MD INC
Organization
Dermatology5471 LA PALMA AVE SUITE 202
LA PALMA, CA 90623
(714) 522-2041
1215057443INTERCOMMUNITY CARDIOLOGY A MEDICAL GROUP
Organization
Internal Medicine (Cardiovascular Disease)5471 LA PALMA AVE 103
LA PALMA, CA 90623
(714) 523-7122
1306180112MARVI IQBAL MD INC
Organization
Dermatology5471 LA PALMA AVE SUITE 103
LA PALMA, CA 90623
(714) 670-1261
1346262615 HASHEM M FATEMI
Individual
Internal Medicine (Cardiovascular Disease)5471 LA PALMA AVE SUITE 203
LA PALMA, CA 90623
(714) 523-7122
1447334826NORMAN KUO MD, A PROFESSIONAL CORPORATION
Organization
Internal Medicine (Gastroenterology)5471 LA PALMA AVE SUITE 105
LA PALMA, CA 90623
(714) 521-0239
1548338189 NORMAN KUO M.D.
Individual
Internal Medicine (Gastroenterology)5471 LA PALMA AVE SUITE 105
LA PALMA, CA 90623
(714) 521-0239
1851319560DR. SAMI MOHAMMAD SHOUKAIR M.D.
Individual
Internal Medicine (Cardiovascular Disease)5471 LA PALMA AVE SUITE 203
LA PALMA, CA 90623
(714) 523-7122
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