Kenneth Nickson, M.D
NPI 1477669646 · Emergency Medicine Physician · Riverside, CA
Kenneth Nickson, M.D is a Emergency Medicine Physician provider in Riverside, CA (NPI 1477669646).
Provider details
- NPI number
- 1477669646
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- C33985 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2008-07-18
Frequently asked questions
- What is Kenneth Nickson's NPI number?
- Kenneth Nickson's National Provider Identifier (NPI) is 1477669646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Nickson's specialty?
- Kenneth Nickson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Nickson located?
- Kenneth Nickson's practice location on file with NPPES is 4445 Magnolia Ave, Riverside, CA 92501-4135.
- What is Kenneth Nickson's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Nickson is (909) 788-3000.
- Is Kenneth Nickson's NPI active?
- Yes — Kenneth Nickson's NPI (1477669646) is active in the NPPES registry as of the last update on 2008-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.