MR. MERVYN BERTRAND NICHOLAS (PA) – Medical Physician Assistant, NPI 1104854728

MR. MERVYN BERTRAND NICHOLAS (PA) is a healthcare provider. based in Vallejo, California. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA15023 (CA). The NPI Number for MR. MERVYN BERTRAND NICHOLAS (PA) is 1104854728

Main info

Male
Name
MR. MERVYN BERTRAND NICHOLAS (PA)
NPI
1104854728
Phone
(707) 980-0372
Address
5505 BORDEAUX CT
Enumeration Date
30 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. MERVYN BERTRAND NICHOLAS (PA)

  • 5505 BORDEAUX CT

    VALLEJO, CA 945916308

    Phone: (707) 980-0372

    Fax: (925) 372-2804

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Medicure Pharma Inc. ($78).

Total Amount

$78

General + Research + Ownership

Payments

1

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medicure Pharma Inc.$78
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94591)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. MERVYN BERTRAND NICHOLAS (PA)?
NPI 1104854728 is assigned to MR. MERVYN BERTRAND NICHOLAS (PA) under the national enumeration system.
Is MR. MERVYN BERTRAND NICHOLAS (PA) active in the national directory?
MR. MERVYN BERTRAND NICHOLAS (PA)'s public NPI profile is in an active state.
Can you summarize MR. MERVYN BERTRAND NICHOLAS (PA)'s specialty in plain language?
Clinically, the directory lists MR. MERVYN BERTRAND NICHOLAS (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. MERVYN BERTRAND NICHOLAS (PA)?
The page summarizes Vallejo, California for MR. MERVYN BERTRAND NICHOLAS (PA); expand the address list for detail.
What if Vallejo, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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