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Search › California › 106H00000X

Dwayne Nickerson

NPI 1780011437 · on the registry since 2013 · sole proprietor

Practice

Address
4193 Flat Rock Dr Ste 200
Riverside, CA 92505
Phone
(805) 242-4851
Fax
(951) 329-5800
Organisation at this address
Yu Yang
Aaria Freight
Myhealth Ultrasounds
Brightstone Services Inc
Inland Empire Homecare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 301 S Miller St Ste 121, Santa Maria, CA
  • 3787 S Vermont Ave, Los Angeles, CA
  • 301 S Miller St Ste 112, Santa Maria, CA
  • 301 S Miller St Ste 112, Santa Maria, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California