NICHOLE PEGAH NIKNAFS D.O.
NPI 1962899930
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Nichole Niknafs's NPI number?

The NPI number for Nichole Niknafs is 1962899930. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Q: What is Nichole Niknafs's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nichole Niknafs was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 17, 2015PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1862 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nichole Pegah Niknafs D.o. NPPES

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

NICHOLE PEGAH NIKNAFS D.O. (NPI 1962899930) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962899930

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICHOLE PEGAH NIKNAFSCredential: D.O.

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address400 N Pepper AveColton, CA 92324-1801 · (909) 580-1862

Phone(909) 580-1862

Sole ProprietorYes

Enumeration DateApril 17, 2015

Last NPPES UpdateDecember 1, 2021

NPPES CertifiedDecember 1, 2021

✔ NPI 1962899930 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.

400 N PEPPER AVE, Colton, CA 92324

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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)

Nichole Pegah Niknafs D.o. 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.

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

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