Active NPI
Cathi Theresa Nicklas, FNP
- Family Nurse Practitioner
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP16307
- Practice address
- 8767 Wilshire Blvd FL 3
Beverly Hills, CA 90211-2714 - Phone
- (424) 315-2728
- Fax
- (424) 315-2729
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336229 | NY | |
| Family Nurse Practitioner | 363LF0000X | NP16307 | CA | Primary |
Addresses
Primary practice location
8767 Wilshire Blvd FL 3
Beverly Hills, CA 90211-2714
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (424) 315-2728
Other practice location 1
275 7th Ave
New York, NY 10001
Phone (212) 604-1701
Other practice location 2
1400 S Grand Ave Ste 801
Los Angeles, CA 90015
Phone (213) 741-9727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8767 Wilshire Blvd
FL 3
Beverly Hills, CA 90211-2714
Phone (310) 385-6031
Hospital & facility affiliations
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16307 | CA | MD | Family Nurse Practitioner |
| F336229 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients |
Locations
8767 Wilshire Blvd
Fl 3
Beverly Hills, CA 90211
Phone (310) 385-6031
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
1400 S Grand Ave
Ste 801
Los Angeles, CA 90015
Phone (213) 741-5271
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
1001 N Martel Ave
West Hollywood, CA 90046
Phone 3233379100 ext. 11364
Interoperability endpoints
- cnicklas431442@direct.cshs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Infectious Disease Physician
- San Francisco, CA
- NPI 1467078063
-
- Health Service Clinic/Center
- Los Angeles, CA
- NPI 1821072943
-
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1053471052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "424-315-2728",
"fax_number": "424-315-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8767 WILSHIRE BLVD FL 3",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112714",
"telephone_number": "424-315-2728",
"fax_number": "424-315-2729"
}
],
"practiceLocations": [
{
"address_1": "275 7th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10001",
"country_code": "US",
"telephone_number": "212-604-1701",
"fax_number": "212-604-1750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 S Grand Ave Ste 801",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90015",
"country_code": "US",
"telephone_number": "213-741-9727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKLAS",
"first_name": "CATHI",
"middle_name": "THERESA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP16307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.