IndividualActive
Nicholas Fettman, MD
NPI 1003005109 · Otolaryngology Physician · Oxnard, CA
Provider details
- NPI number
- 1003005109
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A116624 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1700 N Rose Ave
Suite 460
Oxnard, CA 93030-3790
Phone: (805) 983-0395
Fax: (805) 983-0463
Approximate (ZIP-level) locationGet directions
Mailing address
2876 Sycamore Dr
Simi Valley, CA 93065-1530
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2019-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.