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TIM NICHOLLS M.D.
NPI 1629090022
Pediatrics in San Francisco, CA

Active since July 24, 2006PECOS Enrolled
3700 CALIFORNIA ST, DEPARTMENT OF PEDIATRICS, SAN FRANCISCO, CA 94118(415) 923-3291 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tim Nicholls M.d. NPPES

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

TIM NICHOLLS M.D. (NPI 1629090022) is an individual pediatrics provider in San Francisco, California, licensed in California (A73793) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629090022
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTIM NICHOLLSCredential: M.D.
Location Address3700 CALIFORNIA ST, DEPARTMENT OF PEDIATRICSSan Francisco, CA 94118-1618
Mailing AddressPo Box 254947Sacramento, CA 95865-4947 · (916) 854-6975 · Fax (916) 854-6864
Phone(415) 923-3291
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 13, 2007
✔ NPI 1629090022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A73793
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.
3700 CALIFORNIA ST, San Francisco, CA 94118
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Other Identifiers 2

Medicare ID-Type Unspecified00A737931CA
Medicare UPINH90549CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tim Nicholls 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DAVID HOWARD IRWIN MD
Anesthesiology
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
San Francisco County (415) 719-0000
STEVEN GARY VITCOV MD
Anesthesiology
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
San Francisco County (415) 719-0000
SAM SHENG SHAY MD
Anesthesiology
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
San Francisco County (415) 719-0000
JOHN C. MORETTO MD
Pathology (Clinical Pathology/Laboratory Medicine)
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
San Francisco County (415) 600-2200
CARRIE HAVERTY MS, CGC
Genetic Counselor, MS
3700 CALIFORNIA ST, CALIFORNIA PACIFIC MEDICAL CENTER, G330
SAN FRANCISCO, CA 94118
San Francisco County (415) 600-2601
RICHARD GARCIA-KENNEDY MD
Pathology (Clinical Pathology/Laboratory Medicine)
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
San Francisco County (415) 600-2200
ZANETA CHA
Genetic Counselor, MS
3700 CALIFORNIA ST
SAN FRANCISCO, CA 94118
San Francisco County (415) 600-6400
MRS. KENDALL PLAMANN GLYNN MS, CGC
Genetic Counselor, MS
3700 CALIFORNIA ST, G330
SAN FRANCISCO, CA 94118
San Francisco County (415) 600-2681

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 Tim Nicholls's NPI number?

The NPI number for Tim Nicholls is 1629090022. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Tim Nicholls located?

Tim Nicholls practices at 3700 California St Department Of Pediatrics, San Francisco, CA 94118. The listed phone number is (415) 923-3291.

What is Tim Nicholls's specialty?

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

Is Tim Nicholls enrolled in Medicare?

Yes. Tim Nicholls is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tim Nicholls was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.