Vida Nikzad, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 23963 Issued in CA

Practice address

10700 Santa Monica Blvd Ste 300
Los Angeles, CA 90025

Phone

(310) 804-6118

NPI assigned

Jan 22, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1023256534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 ANGELO DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772130",
            "telephone_number": "310-804-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-804-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8635 W 3RD ST STE 1065 W",
            "address_2": "CEDARS SINAI MEDICAL TOWERS",
            "address_purpose": "LOCATION",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "country_code": "US",
            "telephone_number": "310-804-6118",
            "fax_number": "323-733-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKZAD",
        "first_name": "VIDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 23963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payam Benjamin Nikravesh, DPM
• Rose Nikravesh, D.O.
• Tannaz Nikravesh, M.D.
• Nikunj Patel MD PC
• Nikzad Nafisi Dental Corp (kiss dental care)
• Leonor Guevara Nila, LCSW
• Nile Medical Supplies
• Nile Medical Supplies Inc.
• Gabriel Stephan Niles, M.D.
• Dorna Alyeshmerni Nili, MS

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.