| Doctor Name: | DR. NICHOLAS EUGENE NOMICOS |
| NPI Number: | 1235164898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A49055 |
| Business Practice Address: | 327 Trinity Ave Chowchilla, CA - 936102860 |
| Business Phone Number: | 5596655550 |
| Business Fax Number: | 5597154545 |
| Mailing Address: | 5070 Congressional St, CHOWCHILLA |
| State: | CA |
| Postal Code: | 936109396 |
| Phone Number: | 5596655347 |
| Fax Number: | 5596655347 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 06/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A49055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |