Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972465631 Individual Practitioner Male Practitioner

Michael Nicholas

Specialist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Michael Nicholas is a registered healthcare professional specializing in Specialist in Modesto, CA. Practice services are available at 1030 CALIFORNIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1030 California Ave

Modesto, CA 953512102

Telephone 2099962054
Associated Practice Facility / Clinic
🏢 Valley Recovery Resources Facility NPI 1871488973

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
154 Specialists

Practicing in Modesto, CA (6446 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Secondary Practice Locations

416 Corson Ave

Modesto, CA 953505408

Phone: 2095211805

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Cory Farrell

Counselor - Addiction (Substance Use Disorder)

NPI 1366133837

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2025

Registered at 1030 CALIFORNIA AVE, MODESTO, CA 953512102 (Tel: 2099962054)

📍
Updated Business Mailing Address December 01, 2025

Registered at 1030 CALIFORNIA AVE, MODESTO, CA 953512102 (Tel: 2095211805)

👤
Provider Name / Credentials Updated December 01, 2025

Recorded as MICHAEL NICHOLAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Specialist

🟢
Initial NPI Registration & Enumeration December 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972465631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2025
Last Update: December 01, 2025
Sole Proprietor: No

Mailing Address

1030 California Ave

Modesto, CA 953512102

Phone: 2095211805

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.