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CHARLES PHIFER NICHOLSON JR. MD, MTS
NPI 1437919909
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 20, 2024PECOS Enrolled
757 WESTWOOD PLZ # SURGERY, LOS ANGELES, CA 90095(310) 270-7641 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Phifer Nicholson Jr. Md, Mts NPPES

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

CHARLES PHIFER NICHOLSON JR. MD, MTS (NPI 1437919909) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437919909
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES PHIFER NICHOLSON JR.Credential: MD, MTS
Location Address757 WESTWOOD PLZ # SURGERYLos Angeles, CA 90095-8344
Mailing Address757 Westwood Plz # SurgeryLos Angeles, CA 90095-7419
Phone(310) 270-7641
Sole ProprietorYes
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1437919909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
757 WESTWOOD PLZ # SURGERY, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Phifer Nicholson Jr. Md, Mts 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 13

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

ERIN YU MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8000
YOUNG JI SEO
Surgery
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 206-9291
CAPRICE PIERRE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 206-0073
KELSEY N HADDAD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 206-9291
TAKEGAWA YOSHIDA MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8054
MARK BAILEY MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 206-9291
ABRAHAM CARATOR DUOT
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0369
DANIEL SING HAN CHEAH
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ # SURGERY
LOS ANGELES, CA 90095
Los Angeles County (949) 616-9936

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 Charles Nicholson's NPI number?

The NPI number for Charles Nicholson is 1437919909. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Charles Nicholson located?

Charles Nicholson practices at 757 Westwood Plz # Surgery, Los Angeles, CA 90095. The listed phone number is (310) 270-7641.

What is Charles Nicholson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Nicholson enrolled in Medicare?

Yes. Charles Nicholson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Nicholson was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.