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NICHOLAS J BEVILACQUA D P M INC
NPI 1265762090
Podiatrist - Foot & Ankle Surgery in Van Nuys, CA

Active since December 29, 2009
15107 VANOWEN ST, VAN NUYS, CA 91405(818) 902-5755(818) 902-5766 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas J Bevilacqua D P M Inc NPPES

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

NICHOLAS J BEVILACQUA D P M INC (NPI 1265762090) is a healthcare organization registered as a foot & ankle surgery in Van Nuys, California and active in the NPI registry since December 2009. The organization lists Nicholas J Bevilacqua, Owner, as its authorized official.

NPPES Registry Identity

NPI1265762090
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNICHOLAS J BEVILACQUA D P M INC
Location Address15107 VANOWEN STVan Nuys, CA 91405-4542
Mailing Address15107 Vanowen StVan Nuys, CA 91405-4542 · (818) 902-5755 · Fax (818) 902-5766
Phone(818) 902-5755
Fax(818) 902-5766
Organization SubpartNo
Authorized OfficialNicholas J BevilacquaOwner · (818) 902-5755
Enumeration DateDecember 29, 2009
Last NPPES UpdateMay 24, 2010
✔ NPI 1265762090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4859
15107 VANOWEN ST, Van Nuys, CA 91405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. SHAHRAM SHAWN FARAHVASH M.D.
Anesthesiology
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
PETER KOETTERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARINA A SALAMA MD INC
Pediatrics (Adolescent Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SHANNON TRAN
Nurse Practitioner
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
VALLEY PRESBYTERIAN EMERGENCY MEDICAL ASSOCIATES
Emergency Medicine
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (310) 321-0143
RONALD J BELCZYK, DPM INC.
Podiatrist (Foot & Ankle Surgery)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
KAREN EILEEN MCVEIGH M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARVIN I RETSKY, MD AND DENNIS KASIMIAN, MD A PROFESSIONAL CORPORATION
Pathology (Anatomic Pathology & Clinical Pathology)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 905-2961

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 Nicholas J Bevilacqua D P M Inc's NPI number?

The NPI number for Nicholas J Bevilacqua D P M Inc is 1265762090. It was assigned to this organization in the NPPES registry on December 29, 2009.

Where is Nicholas J Bevilacqua D P M Inc located?

Nicholas J Bevilacqua D P M Inc is located at 15107 Vanowen St, Van Nuys, CA 91405. The listed phone number is (818) 902-5755.

What is Nicholas J Bevilacqua D P M Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Nicholas J Bevilacqua D P M Inc was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.