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DR. NICHOLAS LUCA VITAGLIANO DO
NPI 1821731522
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since April 19, 2022PECOS Enrolled
2776 PACIFIC AVE, LONG BEACH, CA 90806(562) 305-4928 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Apr 19, 2022 (2 updates tracked since 2022).

About Dr. Nicholas Luca Vitagliano Do NPPES

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

DR. NICHOLAS LUCA VITAGLIANO DO (NPI 1821731522) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821731522
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NICHOLAS LUCA VITAGLIANOCredential: DO
Location Address2776 PACIFIC AVELong Beach, CA 90806-2613
Mailing Address1842 Emerald TerGlendale, CA 91201-1239
Phone(562) 305-4928
Sole ProprietorNo
Enumeration DateApril 19, 2022
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1821731522 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.
2776 PACIFIC AVE, Long Beach, CA 90806
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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)

Dr. Nicholas Luca Vitagliano Do 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 20

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

RONALD D FILLMORE CRNFA
Registered Nurse (Registered Nurse First Assistant)
2776 PACIFIC AVE, PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH, CA 90806
Los Angeles County (760) 534-9550
SILVAN MEDICAL CONSULTING, INC
Psychiatry & Neurology (Psychiatry)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (949) 288-5377
THEODORE YOUN D.O.
Family Medicine
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2054
DR. SARGIS YERITSYAN MD
Student in an Organized Health Care Education/Training Program
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2000
LUKE R WATSON MD INC
Pathology (Anatomic Pathology & Clinical Pathology)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2232
KERI MAE GONZALEZ
Registered Nurse (Psychiatric/Mental Health)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2000
EINYA DENSMORE DO
Student in an Organized Health Care Education/Training Program
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2000
DR. KRISHNA N. MANVI M.D.
Internal Medicine (Cardiovascular Disease)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 595-1911

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 Nicholas Vitagliano's NPI number?

The NPI number for Nicholas Vitagliano is 1821731522. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Nicholas Vitagliano located?

Nicholas Vitagliano practices at 2776 Pacific Ave, Long Beach, CA 90806. The listed phone number is (562) 305-4928.

What is Nicholas Vitagliano's specialty?

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

Is Nicholas Vitagliano enrolled in Medicare?

Yes. Nicholas Vitagliano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Vitagliano was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.