Dr. Jim Walter Nelson , MD
Contractor • Temecula, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jim Nelson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jim Nelson, MD was a registered Contractor practicing in Temecula, CA. Throughout an active medical career spanning 10 years, Dr. Nelson provided care at the practice location at 27720 JEFFERSON AVE until profile deactivation on 2017-08-04.
Practice Location & Contact Primary Location
27720 Jefferson Ave
Suite 100
Temecula, CA 925902610
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Temecula, CA
Practicing in Temecula, CA (480 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Radiologic Technologist - Radiography
Physician Assistant - Medical
Physician Assistant
Anesthesiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 04, 2017
NPI status registered as active in NPPES database
Registered at 27720 JEFFERSON AVE, SUITE 100, TEMECULA, CA 925902610 (Tel: 9515069536)
Registered at 12569 CAMINO VUELO, SAN DIEGO, CA 921281412 (Tel: 8586130309)
Recorded as JIM NELSON, M.D.
Contractor (License #C26010 in CA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
12569 Camino Vuelo
San Diego, CA 921281412
Phone: 8586130309
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