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

Nicholas Andrew Bare

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053154096

Nicholas Andrew Bare is a Student in an Organized Health Care Education/Training Program in Moreno Valley, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555
Phone: (951) 486-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053154096
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address2700 Peterson Pl, U 44a, Costa Mesa, CA 92626

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