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

Mr. Mervyn Bertrand Nicholas, PA

Individual provider Medical Physician Assistant · NPI 1104854728

Mr. Mervyn Bertrand Nicholas, PA is a Medical Physician Assistant in Vallejo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5505 Bordeaux Ct
Vallejo, CA 94591-6308
Phone: (707) 980-0372
Fax: (925) 372-2804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15023 (CA)

Record details

NPI number1104854728
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 8, 2007

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