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

Nicolas Vardiabasis, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164785713

Nicolas Vardiabasis, DO is a Student in an Organized Health Care Education/Training Program in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-4698
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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
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 20A13167 (CA)

Record details

NPI number1164785713
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESJanuary 18, 2016
Mailing address26520 Cactus Ave, Moreno Valley, CA 92555-3927

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