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KENNETH NICKSON M.D
NPI 1477669646
Emergency Medicine in Riverside, CA

Active since August 21, 2006
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(909) 788-3000 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Nickson M.d NPPES

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

KENNETH NICKSON M.D (NPI 1477669646) is an individual emergency medicine provider in Riverside, California, licensed in California (C33985) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477669646
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH NICKSONCredential: M.D
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address2100 Powell St, Ste 900Emeryville, CA 94608-1826 · (510) 350-2600 · Fax (510) 879-9100
Phone(909) 788-3000
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 18, 2008
✔ NPI 1477669646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · C33985
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4445 MAGNOLIA AVE, Riverside, CA 92501
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Other Identifiers 3

Medicaid00C339850CA
Medicare UPINA35463CA
Medicare PIN00C339851CA

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.

MR. DAVID W LEVINE PA-C
Physician Assistant
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3381
STEVEN GREGORY PARKIN MD
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000
JAGMEET SINGH ARORA
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 966-8398
ASHFI HOQUE
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 495-9994
ALINA S POPA MD
Hospitalist
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3636
RIVERSIDE RADIOLOGY MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3400
SUPRIYA ANJALI BHUPATHY
Student in an Organized Health Care Education/Training Program
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 786-5350
RUSHIL ANIL PATEL
Emergency Medicine
4445 MAGNOLIA AVE
RIVERSIDE, CA 92501
Riverside County (951) 788-3000

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 Kenneth Nickson's NPI number?

The NPI number for Kenneth Nickson is 1477669646. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Kenneth Nickson located?

Kenneth Nickson practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (909) 788-3000.

What is Kenneth Nickson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Nickson was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.