DR. MICHAEL WAYNE NICCOLE M.D.
NPI 1801010475
Specialist in Newport Beach, CA

Active since April 12, 2007
1101 BAYSIDE DRIVE, SUITE 100, NEWPORT BEACH, CA 92625(949) 718-6900(949) 718-9367 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Wayne Niccole M.d. NPPES

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

DR. MICHAEL WAYNE NICCOLE M.D. (NPI 1801010475) is an individual specialist in Newport Beach, California, licensed in California (A30397) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1801010475
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MICHAEL WAYNE NICCOLECredential: M.D.
Location Address1101 BAYSIDE DRIVE, SUITE 100Newport Beach, CA 92625
Mailing Address1101 Bayside Drive, Suite 100Newport Beach, CA 92625 · (949) 718-6900 · Fax (949) 718-9367
Fax(949) 718-9367
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1801010475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A30397
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1101 BAYSIDE DRIVE, Newport Beach, CA 92625

Other Identifiers 1

Medicare UPINA26098CA

Other Providers at the Same Location NPPES 2

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

Surgery (Plastic and Reconstructive Surgery)
1101 BAYSIDE DRIVE, SUITE 100
CORONA DEL MAR, CA 92625
Plastic Surgery
1101 BAYSIDE DRIVE, SUITE 100
NEWPORT BEACH, CA 92625

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 Michael Niccole's NPI number?

The NPI number for Michael Niccole is 1801010475. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Michael Niccole located?

Michael Niccole practices at 1101 Bayside Drive Suite 100, Newport Beach, CA 92625. The listed phone number is (949) 718-6900.

What is Michael Niccole's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Niccole was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.