| Nickolas Peter Grimes, DPM | |
|
310 S Halcyon Rd, Arroyo Grande, CA 93420-3872 | |
| (510) 917-2334 | |
| Not Available |
| Full Name | Nickolas Peter Grimes |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 310 S Halcyon Rd, Arroyo Grande, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013594308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E6064 (California) | Primary |
| Provider Name | Scott E Adams Dpm Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487648697 PECOS PAC ID: 3577577733 Enrollment ID: O20060126001075 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickolas Peter Grimes, DPM 24 Daisy St, Ladera Ranch, CA 92694-0709 Ph: (949) 291-6369 | Nickolas Peter Grimes, DPM 310 S Halcyon Rd, Arroyo Grande, CA 93420-3872 Ph: (510) 917-2334 |
Scott E Adams, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 S Halcyon Rd, Suite 101, Arroyo Grande, CA 93420 Phone: 805-481-0881 Fax: 805-481-0835 | |
Nickolas Grimes, Dpm, Professional Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 310 S Halcyon Rd Ste 101, Arroyo Grande, CA 93420 Phone: 805-481-0881 | |
Nathan B Ecklund, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 310 S Halcyon Rd Ste 101, Arroyo Grande, CA 93420 Phone: 805-481-0881 Fax: 805-481-0835 |