Individual provider Active NPI

Cathi Theresa Nicklas, FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1053471052
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP16307 Issued in CA
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

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160517002298 NY Practitioner - Nurse Practitioner 9335438183
I20190823000288 CA Practitioner - Nurse Practitioner 9335438183 Reassigns benefits to 2 organizations

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
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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 Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP16307CAMDFamily Nurse Practitioner
F336229NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Jul 15, 2019 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 15, 2019 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.