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NICOLE IZETTA BOSTIC MD
NPI 1417159161
Pediatrics in Riverside, CA

Active since June 04, 2007
9041 MAGNOLIA AVE, STE. 305, RIVERSIDE, CA 92503(951) 343-3481 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Izetta Bostic Md NPPES

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

NICOLE IZETTA BOSTIC MD (NPI 1417159161) is an individual pediatrics provider in Riverside, California, licensed in California (C55464) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1417159161
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE IZETTA BOSTICCredential: MD
Location Address9041 MAGNOLIA AVE, STE. 305Riverside, CA 92503-3900
Mailing Address1412 Roadrunner DrCorona, CA 92881-0711 · (314) 322-2056
Phone(951) 343-3481
Sole ProprietorYes
Enumeration DateJune 4, 2007
Last NPPES UpdateMarch 18, 2015
✔ NPI 1417159161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · C55464✔ Licensed in MO · 2007018726
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9041 MAGNOLIA AVE, Riverside, CA 92503
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Other Identifiers 1

Medicaid207418500MO

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.

SARAH QUAN
Optometrist
9041 MAGNOLIA AVE
RIVERSIDE, CA 92503
Riverside County (951) 777-2210
PARKVIEW OUTPATIENT MEDICAL GROUP, INC.
Specialist
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Riverside County (951) 353-1021
PARKVIEW MEDICAL GROUP, INC.
Clinic/Center (Urgent Care)
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Riverside County (951) 353-1021
365 MDCARE INC
Internal Medicine
9041 MAGNOLIA AVE, SUITE 302
RIVERSIDE, CA 92503
Riverside County (951) 637-9999
JACKNOLIA URGENT CARE
General Practice
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Riverside County (951) 353-1021
WOODCREST MEDICAL CENTER, INC.
Family Medicine
9041 MAGNOLIA AVE, SUITE 105B
RIVERSIDE, CA 92503
Riverside County (951) 351-7726
DR. JOHN PATRICK CARLSON MD
Ophthalmology
9041 MAGNOLIA AVE, SUITE 207
RIVERSIDE, CA 92503
Riverside County (951) 788-0222
DR. ANITA I LENZ MD
Specialist
9041 MAGNOLIA AVE, 206
RIVERSIDE, CA 92503
Riverside County (951) 354-0676

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 Nicole Bostic's NPI number?

The NPI number for Nicole Bostic is 1417159161. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Nicole Bostic located?

Nicole Bostic practices at 9041 Magnolia Ave Ste. 305, Riverside, CA 92503. The listed phone number is (951) 343-3481.

What is Nicole Bostic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Nicole Bostic was last updated on March 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.