MICHAEL NICHOLAS
NPI 1972465631
Specialist in Modesto, CA

Q: What is Michael Nicholas's NPI number?

The NPI number for Michael Nicholas is 1972465631. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Q: What is Michael Nicholas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Nicholas was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 01, 2025

1030 CALIFORNIA AVE, MODESTO, CA 95351(209) 996-2054 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Nicholas NPPES

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

MICHAEL NICHOLAS (NPI 1972465631) is an individual specialist in Modesto, California and active in the NPI registry since December 2025. He maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1972465631

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMICHAEL NICHOLAS

Location Address1030 CALIFORNIA AVEModesto, CA 95351-2102

Mailing Address1030 California AveModesto, CA 95351-2102 · (209) 521-1805

Phone(209) 996-2054

Sole ProprietorNo

Enumeration DateDecember 1, 2025

NPPES CertifiedDecember 1, 2025

✔ NPI 1972465631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

1030 CALIFORNIA AVE, Modesto, CA 95351

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Secondary Practice Location 1

Location 1416 Corson AveModesto, CA 95350-5408 · Phone (209) 521-1805

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.

CORY ANN FARRELL

Counselor (Addiction (Substance Use Disorder))

1030 CALIFORNIA AVE
MODESTO, CA 95351

Stanislaus County (209) 550-7352

VALLEY RECOVERY RESOURCES

Substance Abuse Rehabilitation Facility

1030 CALIFORNIA AVE
MODESTO, CA 95351

Stanislaus County (209) 550-7352

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 Nicholas's NPI number?

The NPI number for Michael Nicholas is 1972465631. It was assigned to this individual provider in the NPPES registry on December 1, 2025.

Where is Michael Nicholas located?

Michael Nicholas practices at 1030 California Ave, Modesto, CA 95351. The listed phone number is (209) 996-2054.

What is Michael Nicholas'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 Nicholas was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.