Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Nicole Izetta Bostic, MD

Pediatrics Physician in Riverside, CA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417159161

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Registry record

Entity type Individual (Type 1)

Name Nicole Izetta Bostic

Credential MD

Sex Female

Practice address Riverside, CA, 92503

Phone (951) 343-3481

Enumeration date Jun 4, 2007

Last updated in NPPES Mar 18, 2015

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2007018726 (MO) Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License C55464 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
207418500	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Nicole Bostic?

Nicole Bostic is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-18.