Aikkiko Nickler, IDC
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1336722685
StatusActive
Last updated in NPPESJan 20, 2022
Details
- NPI
- 1336722685
- Entity type
- Individual (NPI-1)
- Name
- Aikkiko Nickler
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2021
- Certification date
- Jan 20, 2022
- Last updated
- Jan 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | 1336722685 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1741 Oro Vista Rd Apt 245San Diego, CA 92154-4507
Phone 475-224-8659
Mailing address
1741 Oro Vista Rd Apt 245San Diego, CA 92154-4507
Phone 475-224-8659
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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