Healthcare Provider Details

I. General information

NPI: 1265340798
Provider Name (Legal Business Name): NICHOLAS MURRAY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 EUREKA RD STE 100
ROSEVILLE CA
95661-3056
US

IV. Provider business mailing address

1310 NELSON DR
RED BLUFF CA
96080-4413
US

V. Phone/Fax

Practice location:
  • Phone: 530-722-2233
  • Fax:
Mailing address:
  • Phone: 916-963-6193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: