| Michael A Nicolas, NP | |
|
2501 E Chapman Ave Ste 107c, Fullerton, CA 92831-3132 | |
| (562) 304-5150 | |
| (562) 317-1073 |
| Full Name | Michael A Nicolas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2501 E Chapman Ave Ste 107c, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497284202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95017723 (California) | Primary |
| 163W00000X | Registered Nurse | 95079457 (California) | Secondary |
| Entity Name | Grow Healthcare Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Psychiatric Behavioral Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457202335 PECOS PAC ID: 3274017959 Enrollment ID: O20260320000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Nicolas, NP 2501 E Chapman Ave Ste 107c, Fullerton, CA 92831-3132 Ph: (562) 304-5150 | Michael A Nicolas, NP 2501 E Chapman Ave Ste 107c, Fullerton, CA 92831-3132 Ph: (562) 304-5150 |
Joyce Eseigbe, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 810 Mesita Pl, Fullerton, CA 92835 Phone: 714-801-2277 |
Kenneth Paolo Dagdag Lising, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835 Phone: 714-626-8650 |
Paulo Narvaez Jusay, MSN, ACNP, APRN,BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2328 Greenwich Dr, Fullerton, CA 92833 Phone: 714-732-8913 |
Saba Tesfay, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2255 El Rancho Vis, Fullerton, CA 92833 Phone: 612-423-5046 |
Erica Lee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1837 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-446-5831 |
Ms. Abigail Marie Marapao, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 W Orangethorpe Ave Apt 29, Fullerton, CA 92833 Phone: 714-399-5491 |
Shayna Nikol Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3943 |