MEDICARE: NYKIA CHICHIZOLA-PEACE, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164392106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NYKIA CHICHIZOLA-PEACE, M.D., P.C.

Provider Business Mailing Address
First Line	:	40839 MORRIS ST
Second Line	:
City	:	INDIO
State	:	CA
Zip	:	92203-3053
Country	:	US
Telephone Number	:	310-766-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	4326 S WESTERN AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90062-1648
Country	:	US
Telephone Number	:	760-285-3008
Fax Number	:

Authorized Official
Title or Position	:	CEO,CFO
Name	:	NYKIA CHICHIZOLA-PEACE
Credential	:	MD
Telephone Number	:	310-766-3441

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	01/28/2026

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