Individual provider Active NPI

Nikol Tomsejova, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Palmdale, CA
National Provider Identifier
1104583590
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95017566 Issued in CA
Practice address
38600 Medical Center Dr
Palmdale, CA 93551-4483
Phone
(661) 382-5000
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95017566 CA Primary

Addresses

Primary practice location

38600 Medical Center Dr
Palmdale, CA 93551-4483

Mailing address

1951 N Beachwood Dr Apt 302
Los Angeles, CA 90068-4077
Phone (540) 553-1922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220217000399 CA Practitioner - Nurse Practitioner 6305239245 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmdale Intensivist IncGroup PAC ID 1355880865, 15 clinicians

Practice addresses (Care Compare)

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Hospital & facility affiliations

  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Av Intensivist Group Inc Acute Care CurrentSince Nov 18, 2023 Accepting new patients
Palmdale Intensivist Inc CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Dec 1, 2021 Accepting new patients
Mid-Valley Pulmonary Medical Group, Inc. CurrentSince Jun 27, 2025 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403
Phone (818) 325-0200

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

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 1

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": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1104583590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N BEACHWOOD DR APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900684077",
            "telephone_number": "540-553-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38600 MEDICAL CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514483",
            "telephone_number": "661-382-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMSEJOVA",
        "first_name": "NIKOL",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95017566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.