NICOLE FUDGE CSFA
NPI 1902791916
Specialist/Technologist, Other - Surgical Assistant in San Diego, CA

Q: What is Nicole Fudge's NPI number?

The NPI number for Nicole Fudge is 1902791916. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Nicole Fudge's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Fudge was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 10, 2025

5930 CORNERSTONE CT W STE 300, SAN DIEGO, CA 92121(866) 687-7390(866) 687-7393 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Fudge Csfa NPPES

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

NICOLE FUDGE CSFA (NPI 1902791916) is an individual surgical assistant in San Diego, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1902791916

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameNICOLE FUDGECredential: CSFA

Location Address5930 CORNERSTONE CT W STE 300San Diego, CA 92121-3772

Mailing Address5930 Cornerstone Ct W Ste 300San Diego, CA 92121-3772 · (866) 687-7390 · Fax (866) 687-7393

Phone(866) 687-7390

Fax(866) 687-7393

Sole ProprietorNo

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1902791916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

5930 CORNERSTONE CT W STE 300, San Diego, CA 92121

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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.

HAILEY BASTECKI RN

Registered Nurse