MIKE NICHOLS M.D.
NPI 1285896373
General Practice in Saratoga, CA

Active since June 30, 2008PECOS Enrolled
14583 BIG BASIN WAY, #2B, SARATOGA, CA 95070(408) 647-2130(888) 362-6713 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mike Nichols M.d. NPPES

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

MIKE NICHOLS M.D. (NPI 1285896373) is an individual general practice provider in Saratoga, California, licensed in California (G49792) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285896373
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMIKE NICHOLSCredential: M.D.
Location Address14583 BIG BASIN WAY, #2BSaratoga, CA 95070-6072
Mailing Address14583 Big Basin Way, #2bSaratoga, CA 95070-6072 · (408) 647-2130 · Fax (888) 362-6713
Fax(888) 362-6713
Sole ProprietorYes
Enumeration DateJune 30, 2008
Last NPPES UpdateMay 14, 2009
NPI 1285896373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G49792
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

14583 BIG BASIN WAY, Saratoga, CA 95070

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mike Nichols 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

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

Family Medicine
14583 BIG BASIN WAY, UNIT 3B
SARATOGA, CA 95070

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 Mike Nichols's NPI number?

The NPI number for Mike Nichols is 1285896373. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Mike Nichols located?

Mike Nichols practices at 14583 Big Basin Way #2b, Saratoga, CA 95070. The listed phone number is (408) 647-2130.

What is Mike Nichols's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mike Nichols enrolled in Medicare?

Yes. Mike Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mike Nichols was last updated on May 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.