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MARY C MCNICHOLAS PA
NPI 1295791960
Physician Assistant in Emeryville, CA

Active since April 21, 2006
2100 POWELL ST, SUITE 920, EMERYVILLE, CA 94608(510) 350-2655(510) 879-9071 Get Directions Write a Review

NPPES record last updated: December 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary C Mcnicholas Pa NPPES

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

MARY C MCNICHOLAS PA (NPI 1295791960) is an individual physician assistant in Emeryville, California, licensed in California (PA14376) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1295791960
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY C MCNICHOLASCredential: PA
Location Address2100 POWELL ST, SUITE 920Emeryville, CA 94608-1826
Mailing Address2100 Powell St, Suite 920Emeryville, CA 94608-1826 · (510) 350-2655 · Fax (510) 879-9071
Phone(510) 350-2655
Fax(510) 879-9071
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateDecember 16, 2008
✔ NPI 1295791960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA14376
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2100 POWELL ST, Emeryville, CA 94608
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Other Identifiers 3

Medicare ID-Type Unspecified00PA143760CA · Medicare Number
MedicaidPA14376CA
Medicare UPINP92390CA

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.

GALEN INPATIENT PHYSICIANS
Internal Medicine
2100 POWELL ST, STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
OSMAN WAGILLA
Physician Assistant
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
EUGENIA BRAZAL MAGAHIS NP
Nurse Practitioner
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
PAMELA NOONAN RD
Nurse Practitioner
2100 POWELL ST
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
MR. WILL RICHARD BLACKMON III PA-C
Physician Assistant
2100 POWELL ST, SUITE 920
EMERYVILLE, CA 94608
Alameda County (925) 939-5800
LOUIS P TRAN M.D.
Emergency Medicine
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
GUISOU MAHMOUD
Emergency Medicine
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
AHMED MARZOUK MBBCH, PA
Physician Assistant
2100 POWELL ST
EMERYVILLE, CA 94608
Alameda County (510) 350-2500

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 Mary Mcnicholas's NPI number?

The NPI number for Mary Mcnicholas is 1295791960. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Mary Mcnicholas located?

Mary Mcnicholas practices at 2100 Powell St Suite 920, Emeryville, CA 94608. The listed phone number is (510) 350-2655.

What is Mary Mcnicholas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Mcnicholas was last updated on December 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.