Gary Nichols
Internist Hematologist Medical Oncology Hematology & Oncology
2455 Summerfield Rd
Santa Rosa
, California 95405
Gary Nichols
Internist Hematologist Medical Oncology Hematology & Oncology
2455 Summerfield Rd
Santa Rosa
, California 95405
(707) 573-5439
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About
Features
Specialties
- Internist
- Hematologist
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Gary Nichols
- 325 Distel Cir
- Los Altos, CA
- Zip : 94022-1408
- Fax : (707) 573-5439
- Phone : (707) 308-2815
Second Address
- Gary Nichols
- 2455 Summerfield Rd
- Santa Rosa, CA
- Zip : 95405
- Fax : (707) 573-5439
- Phone : (707) 308-2815
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FAQs
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What type of doctor is Gary Nichols
In what state does Gary Nichols practice in?
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What is Gary Nichols ’s gender?
Is Gary Nichols a sole practitioner?
Is Gary Nichols accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | G73872 | CA |
| Y | 111NI0900X | Internist | G73872 | CA |
| N | 207RH0000X | Hematologist | 181851 | CA |
| N | 207RH0003X | Hematology & Oncology | 181851 | CA |
| N | 207RX0202X | Medical Oncology | 181851 | CA |
National Provider Identifier
| NPI | 1033201587 |
|---|---|
| Provider Name | Gary Nichols |
| First Address | Los Altos, CA 94022-1408 |
| Second Address | Santa Rosa, CA 95405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 10/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B63562 | (02) | CA |
| CP059Z | PTAN (01) | |
| G73872 | STATE MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.