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NICHOLAS JAY WIXON MD
NPI 1871295527
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 20, 2023PECOS Enrolled
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 204-9998 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicholas Jay Wixon Md NPPES

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

NICHOLAS JAY WIXON MD (NPI 1871295527) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871295527
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS JAY WIXONCredential: MD
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address4445 Magnolia AveRiverside, CA 92501-4135 · (951) 204-9998
Phone(951) 204-9998
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 18, 2023
✔ NPI 1871295527 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.
4445 MAGNOLIA AVE, Riverside, CA 92501
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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)

Nicholas Jay Wixon Md 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.

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 Nicholas Wixon's NPI number?

The NPI number for Nicholas Wixon is 1871295527. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Nicholas Wixon located?

Nicholas Wixon practices at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 204-9998.

What is Nicholas Wixon'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 Wixon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicholas Wixon was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.