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FREDERIC G NICOLA M. D.
NPI 1184736480
Specialist in Marina Del Rey, CA

Active since August 31, 2006PECOS Enrolled
13160 MINDANAO WAY, STE 300, MARINA DEL REY, CA 90292(310) 574-0400(310) 574-0485 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederic G Nicola M. D. NPPES

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

FREDERIC G NICOLA M. D. (NPI 1184736480) is an individual specialist in Marina Del Rey, California, licensed in California (G38262) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184736480
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameFREDERIC G NICOLACredential: M. D.
Location Address13160 MINDANAO WAY, STE 300Marina Del Rey, CA 90292-6358
Mailing Address13160 Mindanao Way, Ste 300Marina Del Rey, CA 90292-6358 · (310) 574-0400 · Fax (310) 574-0485
Phone(310) 574-0400
Fax(310) 574-0485
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 14, 2011
✔ NPI 1184736480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G38262
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G38262 (CA)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License G38262 (CA)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License G38262 (CA)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License G38262 (CA)
13160 MINDANAO WAY, Marina Del Rey, CA 90292
Open in Google Maps ↗

Other Identifiers 1

Other953951031CA · Tax Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frederic G Nicola M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. RICHARD GEORGE BOUDREAU D.D.S.
Dentist (Oral and Maxillofacial Surgery)
13160 MINDANAO WAY, SUITE 120
MARINA DEL REY, CA 90292
Los Angeles County (310) 822-6161
SARAH S. MILLER MD, INCORPORATED
Physical Medicine & Rehabilitation
13160 MINDANAO WAY, SUITE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
DAVID KAPLOWITZ MD
Internal Medicine
13160 MINDANAO WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-4993
MS. LISA ANNE PENNY M.A.
Marriage & Family Therapist
13160 MINDANAO WAY, #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 990-9164
DR. NATALIA MARIA HOMYAK DDS
Dentist (General Practice)
13160 MINDANAO WAY, ROOM 170
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-6400
DR. ROBERT S BRAY JR. M.D.
Neurological Surgery
13160 MINDANAO WAY, SUITE #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 854-3800
DR. RAE L HADLEY PSY.D.
Psychologist (Clinical)
13160 MINDANAO WAY
MARINA DEL REY, CA 90292
Los Angeles County (925) 282-1778
DR. JEREMY SCOTT SUMMERS D.C.
Chiropractor (Sports Physician)
13160 MINDANAO WAY, SUITE 308
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederic Nicola's NPI number?

The NPI number for Frederic Nicola is 1184736480. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Frederic Nicola located?

Frederic Nicola practices at 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292. The listed phone number is (310) 574-0400.

What is Frederic Nicola's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Frederic Nicola enrolled in Medicare?

Yes. Frederic Nicola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederic Nicola was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.