NICHOLAS MADUKO
NPI 1174034748
Student in an Organized Health Care Education/Training Program in Pittsburg, CA

Q: What is Nicholas Maduko's NPI number?

The NPI number for Nicholas Maduko is 1174034748. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Q: What is Nicholas Maduko's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Maduko was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2017

555 SCHOOL ST, PITTSBURG, CA 94565(925) 432-4118(844) 436-5135 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2020, Oct 23, 2017 (2 updates tracked since 2017).

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About Nicholas Maduko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS MADUKO (NPI 1174034748) is an individual student in an organized health care education/training program in Pittsburg, California and active in the NPI registry since October 2017. He maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1174034748

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNICHOLAS MADUKO

Location Address555 SCHOOL STPittsburg, CA 94565-3937

Mailing Address555 School StPittsburg, CA 94565-3937 · (925) 432-4118

Phone(925) 432-4118

Fax(844) 436-5135

Sole ProprietorNo

Enumeration DateOctober 23, 2017

Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration

NPPES CertifiedAugust 20, 2020

✔ NPI 1174034748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

555 SCHOOL ST, Pittsburg, CA 94565

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Secondary Practice Location 1

Location 1229 N Sheldon RdPlymouth, MI 48170-1524 · Phone (313) 278-4601 · Fax (313) 278-4601

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDRA LORENA COLQUITT

Counselor (Mental Health)