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Michael Nieto, M.D. — NPI 1861848947, Orange, CA | NPI Central

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NPI 1861848947

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Michael Nieto, M.D.

NPI 1861848947 · Pediatric Sports Medicine Physician · Orange, CA

Provider details

NPI number: 1861848947
Entity type: Individual
Primary specialty: Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Pediatric Sports Medicine PhysicianPrimary2080S0010XLicense A168679 (CA)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

280 S Main St Ste 200

Orange, CA 92868-3852

Phone: (714) 634-4567

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

8950a (campus Delivery Code) 2450 Riverside Ave

Minneapolis, MN 55454

Additional practice locations (1)

8950a (campus Delivery Code) 2450 Riverside Ave
Pediatrics Education Office 1st Floor East Building
Minneapolis, MN 55454
Phone: (612) 624-4477

Registry dates

Enumerated: 2016-05-09
Last updated: 2020-07-13
Certified: 2020-07-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.