Nicholas Mazzuca, is a
Student In An Organized Health Care Education/training Program based in Poway, California. Nicholas Mazzuca is licensed to practice in * (Not Available) (license number ) and his current practice location is
16937 Valle Verde Rd, Poway, California. He can be reached at his office (for appointments etc.) via phone at
(805) 233-0608.
NPI number for Nicholas Mazzuca is 1013851807 and his current mailing address is 16937 Valle Verde Rd, Poway, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013851807.
Provider's Profile
| Full Name | Nicholas Mazzuca |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 16937 Valle Verde Rd, Poway, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013851807
- Provider Enumeration Date: 04/14/2026
- Last Update Date: 04/14/2026
Medical Identifiers
Medical identifiers for Nicholas Mazzuca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013851807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Mazzuca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicholas Mazzuca,
16937 Valle Verde Rd,
Poway, CA 92064-1209
Ph: (805) 233-0608 | Nicholas Mazzuca,
16937 Valle Verde Rd,
Poway, CA 92064-1209
Ph: (805) 233-0608 |
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