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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376993279

Nicolas Sebastian Mottola, MD is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Works from 2 locations. Licensed in California and Pennsylvania.

Licensed in
CA, PA
In the registry since
2016
Specialties on file
2
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

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 — (215) 456-3221

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A157961 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT211781 (PA)

Record details

NPI number1376993279
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESDecember 17, 2021

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