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NIKOM UDOM MEDICAL CLINIC
NPI 1992922942
Internal Medicine in Gridley, CA

Active since April 19, 2007
145 SPRUCE ST, GRIDLEY, CA 95948(530) 846-3604(530) 846-2108 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nikom Udom Medical Clinic NPPES

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

NIKOM UDOM MEDICAL CLINIC (NPI 1992922942) is a healthcare organization registered as an internal medicine in Gridley, California and active in the NPI registry since April 2007. The organization lists Nikom Udomphonkul, President, as its authorized official.

NPPES Registry Identity

NPI1992922942
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNIKOM UDOM MEDICAL CLINIC
Location Address145 SPRUCE STGridley, CA 95948-0947
Mailing AddressPo Box 947Gridley, CA 95948-0947 · (530) 846-3604 · Fax (530) 846-2108
Phone(530) 846-3604
Fax(530) 846-2108
Organization SubpartNo
Authorized OfficialNikom UdomphonkulPresident · (530) 846-3604
Enumeration DateApril 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992922942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A34194
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
145 SPRUCE ST, Gridley, CA 95948
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Other Identifiers 1

Medicaid00A341940CA

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

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 Nikom Udom Medical Clinic's NPI number?

The NPI number for Nikom Udom Medical Clinic is 1992922942. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Nikom Udom Medical Clinic located?

Nikom Udom Medical Clinic is located at 145 Spruce St, Gridley, CA 95948. The listed phone number is (530) 846-3604.

What is Nikom Udom Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Nikom Udom Medical Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.