DR. NICHOLAS AARON FETTMAN MD NPI 1003005109

Otolaryngology in Oxnard, CA

About NICHOLAS FETTMAN

Nicholas Fettman is a provider in Oxnard, CA with more than 12 years of experience. The NPI number assigned to this provider is 1003005109. The practitioner's primary taxonomy code is Otolaryngology (207Y00000X). The provider is registered as an individual and their NPI record was last updated 6 years ago. Nicholas Fettman is registered with Medicare and accepts claims assignment.

NPI1003005109 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. NICHOLAS AARON FETTMAN MD
Provider Location Address1700 N ROSE AVE SUITE 460 OXNARD, CA 93030 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 Address2876 SYCAMORE DR SUITE 303 SIMI VALLEY, CA 93065 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).
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year2006
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 Date10-15-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-19-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. NICHOLAS AARON FETTMAN MD
1700 N ROSE AVE
SUITE 460
OXNARD, CA
ZIP 93030
Phone: (805) 983-0395
Fax: (805) 983-0463
Get Directions

Mailing Address

DR. NICHOLAS AARON FETTMAN MD
2876 SYCAMORE DR
SUITE 303
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 527-7320
Fax: (805) 527-2426

Primary Taxonomy

Taxonomy Code207Y00000X 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.
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.A116624
License StateCA
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology2006018899MONo

Taxonomy Description: an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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
FE976ZMEDICARE PIN (08)CA

Map Location


DR. NICHOLAS AARON FETTMAN MD address is 1700 N ROSE AVE SUITE 460 OXNARD, CA 93030

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053350231DR. ANN SCHRADER KELLEY MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1093767469 JU-SUNG WU M.D.
Individual
Specialist1700 N ROSE AVE SUITE 220
OXNARD, CA 93030
(805) 983-1009
1164425245DR. TIMOTHY GORDON BRYANT M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1225014590NISHIKAWA AND LOWE SURGICAL SERVICES MEDICAL GROUP, INC
Organization
Surgery1700 N ROSE AVE SUITE 440
OXNARD, CA 93030
(805) 983-0233
1245284686 SHAHRAM FATEMI M.D.
Individual
Family Medicine1700 N ROSE AVE SUITE 210
OXNARD, CA 93030
(805) 988-8058
1275511644GENERAL SURGERY MEDICAL GROUP OF VENTURA COUNTY
Organization
Surgery1700 N ROSE AVE SUITE 430
OXNARD, CA 93030
(805) 485-8722
1376592733 GRETCHEN H. JACOBSON MD
Individual
Neurological Surgery1700 N ROSE AVE #250
OXNARD, CA 93030
(805) 983-1700
1407803323CARDIOVASCULAR & THORACIC SURGEONS OF VENTURA COUNTY, APC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)1700 N ROSE AVE STE 420
OXNARD, CA 93030
(805) 988-2033
1407891971 ANDREW WILLARD JEFFERS M.D.
Individual
Orthopaedic Surgery1700 N ROSE AVE #135
OXNARD, CA 93030
(805) 981-1788
1497758569DR. BRIAN CHIEN TUAI M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1568447092 ISAAC EDWIN LOWE MD
Individual
Surgery1700 N ROSE AVE SUITE 440
OXNARD, CA 93030
(805) 983-0233
1568465649DR. LISA LOUISE BABASHOFF M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1619916772DR. ROSEMARY E MCINTYRE MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1629017801DR. KOOROS PARSA MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1649219452DR. KEVIN Q CHANG MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1699778712DR. SUCKCHAI TULATHIMUTTE M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1881697951DR. JOSEPH SALVATORE LOPRESTI M.D.
Individual
Surgery1700 N ROSE AVE STE 430
OXNARD, CA 93030
(805) 485-8722
1952356933DR. LYNN R KONG MD
Individual
Internal Medicine (Hematology & Oncology)1700 N ROSE AVE SUITE 320
OXNARD, CA 93030
(805) 485-8709
1962405860PMK MEDICAL GROUP, INC.
Organization
Clinic/Center (Oncology)1700 N ROSE AVE STE 320
OXNARD, CA 93030
(805) 485-8709
1982669396DR. TIMOTHY A. OCONNOR M.D.
Individual
Radiology (Radiation Oncology)1700 N ROSE AVE SUITE 120
OXNARD, CA 93030
(805) 988-2657