Individual provider · Type 1 NPI

Michael Nicholas

Specialist · Modesto, CA

NPI number 1972465631 Active

Practice location

1030 California Ave
Modesto, CA 95351-2102

Call (209) 996-2054 Map

Other practice locations

  • 416 Corson Ave, Modesto, CA 95350-5408 · (209) 521-1805

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972465631

Michael Nicholas's National Provider Identifier is 1972465631, issued on Dec 1, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Dec 1, 2025.