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ST NICHOLAS MEDICAL GROUP
NPI 1982808622
Family Medicine in Los Angeles, CA

Active since June 14, 2007
5520 SANTA MONICA BLVD, SUITE 112, LOS ANGELES, CA 90038(323) 860-9054(323) 860-9053 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Nicholas Medical Group NPPES

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

ST NICHOLAS MEDICAL GROUP (NPI 1982808622) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since June 2007. The organization lists Lorenzo Esguerra Tizon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982808622
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST NICHOLAS MEDICAL GROUP
Location Address5520 SANTA MONICA BLVD, SUITE 112Los Angeles, CA 90038-2932
Mailing Address5520 Santa Monica Blvd, Suite 112Los Angeles, CA 90038 · (323) 860-9054 · Fax (323) 860-9053
Phone(323) 860-9054
Fax(323) 860-9053
Organization SubpartNo
Authorized OfficialLorenzo Esguerra TizonMedical Director · (323) 860-9054
Enumeration DateJune 14, 2007
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1982808622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A40329
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5520 SANTA MONICA BLVD, Los Angeles, CA 90038
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Other Identifiers 1

Medicare PINW21726CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ST ANDREWS MEDICAL GROUP INC
Specialist
5520 SANTA MONICA BLVD, SUITE 112
LOS ANGELES, CA 90038
Los Angeles County (323) 860-9054
ST NICHOLAS MEDICAL GROUP
Internal Medicine (Geriatric Medicine)
5520 SANTA MONICA BLVD, SUITE 112
LOS ANGELES, CA 90038
Los Angeles County (323) 860-9054

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 St Nicholas Medical Group's NPI number?

The NPI number for St Nicholas Medical Group is 1982808622. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is St Nicholas Medical Group located?

St Nicholas Medical Group is located at 5520 Santa Monica Blvd Suite 112, Los Angeles, CA 90038. The listed phone number is (323) 860-9054.

What is St Nicholas Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for St Nicholas Medical Group was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.