Healthcare Provider Details

I. General information

NPI: 1518882240
Provider Name (Legal Business Name): NIGEL L HAWKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 MARSHALL ST
REDWOOD CITY CA
94063-2503
US

IV. Provider business mailing address

2242 LINCOLN ST # A
EAST PALO ALTO CA
94303-1541
US

V. Phone/Fax

Practice location:
  • Phone: 650-372-4080
  • Fax:
Mailing address:
  • Phone: 650-435-2522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number171M00000X
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: