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

Nicole L Lewis, MD

Individual provider Family Medicine Physician · NPI 1679860142

Nicole L Lewis, MD is a Family Practice in San Jose, California. Graduated from Wayne State University School of Medicine in 2011, 15 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Michigan.

Years since qualifying
15
Trained at
Wayne State University School of Medicine
Licensed in
CA, MI
In the registry since
2011
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

6475 Camden Ave Ste 105
San Jose, CA 95120
Phone: (408) 997-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 18917 Joy Rd, Detroit, MI 48228-3050 — (313) 446-8800
  • 18917 Joy Rd, Detroit, MI 48228-3050 — (313) 446-8800
  • 24911 Little Mack Ave, Saint Clair Shores, MI 48080-3200 — (586) 447-9064

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C159091 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301098534 (MI)

Record details

NPI number1679860142
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESAugust 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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