NPI

Nicholas Ryan Scrivens

NPI 1730831439

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2022-01-24
Last updated
2024-08-22

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
101 Bodin Cir
City
Travis Afb CA
Postal code
94535-1809
Phone
(707) 423-3792

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Travis Afb, CA. 881 records in the public file.

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