Doctor profile · Federal record

Dr. Mervyn Nicholas, PA

Medical Physician Assistant · Vallejo, CA

  • NPI 1104854728
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5505 Bordeaux CT
Vallejo, CA 945916308
(707) 980-0372
fax (925) 372-2804

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
California #PA15023

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104854728. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$78
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Medicure Pharma Inc. 1 $78.09

By nature of payment

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
$78

Frequently asked questions

Auto-generated from federal data
What is Dr. Mervyn Nicholas's medical specialty?
Dr. Mervyn Nicholas practices Medical Physician Assistant in Vallejo, CA.
Where does Dr. Mervyn Nicholas practice?
Dr. Mervyn Nicholas practices at 5505 Bordeaux CT, Vallejo, CA 945916308. Office phone: 7079800372.
What is Dr. Mervyn Nicholas's NPI?
Dr. Mervyn Nicholas's National Provider Identifier (NPI) is 1104854728, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 24, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›