Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Wayne Niccole, MD

Individual provider Specialist · NPI 1801010475

Dr. Michael Wayne Niccole, MD is a Specialist in Newport Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1101 Bayside Dr Ste 100
Newport Beach, CA 92625
Phone: (949) 718-6900
Fax: (949) 718-9367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A30397 (CA)

Record details

NPI number1801010475
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 12, 2007
Last updated in NPPESJuly 8, 2007

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