Nicolas Sebastian Mottola
MD | Pediatrics | Male
Nicolas Sebastian Mottola, MD is a San Rafael, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nicolas Sebastian Mottola is
99 Montecillo Rd, San Rafael, California - 94903-3308. He can be contacted on phone at
415-444-2000.
Nicolas Sebastian Mottola is a sole proprietor of his business.
NPI number (Unique professional ID) for Nicolas Sebastian Mottola is
1376993279 which was assigned by NPPES on 21 Jun, 2016 and it was last updated on 17 Dec, 2021.
Nicolas Sebastian Mottola license number is
A157961 for Pediatrics (208000000X) in California.
Nicolas Sebastian Mottola is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicolas Sebastian Mottola basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Nicolas Sebastian Mottola |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Nicolas Sebastian Mottola address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 99 Montecillo Rd
San Rafael, CA, 94903-3308
United States |
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| Phone Number : | 415-444-2000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376993279 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jun, 2016 |
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| Last Updated On : | 17 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicolas Sebastian Mottola are as mentioned. Primary taxonomy code for Nicolas Sebastian Mottola, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A157961 | CA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | MT211781 | PA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5501 OLD YORK RD,
PHILADELPHIA, PA, 19141-3018
United States | PHILADELPHIA, PA | 215-456-3221 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 3900 LAKEVIEW HIGHWAY,
PETALUMA, CA, 94954
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 99 Montecillo Rd
San Rafael, CA, 94903-3308
United States |
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| Phone Number : | 415-444-2000 |
|---|
Business Location:
Patients can refer following map for directions to
Nicolas Sebastian Mottola practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.