Gregory Paul Nishida in Newport Beach - Sports Physician
Gregory Paul Nishida - NPI 1104957554
Gregory Paul Nishida is a Sports Physician in Newport Beach, California. Gregory Paul Nishida practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gregory Paul Nishida is 1104957554. The last update date is 2007-07-08.
Gregory Paul Nishida's current location address is 20250 Sw Acacia St, Newport Beach, California. You can contact this provider via phone number 9498512225 and fax number 9498512281. The mailing address for Gregory Paul Nishida is 20250 Sw Acacia St, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Paul Nishida |
|---|---|
| Address | 20250 Sw Acacia St, Newport Beach, California |
| Phone Number | 9498512225 |
| Fax Number | 9498512281 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1104957554 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20250 Sw Acacia St |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926601735 |
| Phone Number | 9498512225 |
| Fax Number | 9498512281 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC20722 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique identifier code issued to Gregory Paul Nishida by the Centers for Medicare & Medicaid Services?
The Gregory Paul Nishida has been assigned the NPI (National Provider Identifier) 1104957554. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gregory Paul Nishida's physical address?
The Gregory Paul Nishida is physically located at 20250 Sw Acacia St, in the city of Newport Beach, CA, with the postal code 926601735.
What is Gregory Paul Nishida's area of expertise and its corresponding taxonomy classification?
The Gregory Paul Nishida's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104957554 to Gregory Paul Nishida?
The Centers for Medicare & Medicaid Services originally issued the 1104957554 to Gregory Paul Nishida on 2007-03-08.
When was the information regarding Gregory Paul Nishida most recently updated?
The details pertaining to the Gregory Paul Nishida, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.