Individual provider Active NPI

Nickolas Albert Tomasic, M.D.

  • Urology Physician
  • Culver City, CA
National Provider Identifier
1104875160
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G66614 Issued in CA
Practice address
3831 Hughes Ave Ste 606
Culver City, CA 90232-6849
Phone
(310) 425-8060
Fax
(310) 425-8260
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G66614 CA Primary
Specialist 174400000X G66614 CA

Addresses

Primary practice location

3831 Hughes Ave Ste 606
Culver City, CA 90232-6849

Mailing address

3831 Hughes Ave Ste 606
Culver City, CA 90232-6849
Phone (310) 425-8060

Other identifiers 1

IdentifierTypeStateIssuer
00G666140MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000283 CA Practitioner - Urology 6709817778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urological Medical AssociatesGroup PAC ID 3971549882, 3 clinicians

Practice addresses (Care Compare)

3831 Hughes Ave
Suite 606
Culver City, CA 90232-6849
Phone (310) 425-8060

510 N Prospect Ave
Suite 115
Redondo Beach, CA 90277-3028
Phone (310) 670-9119

8540 S Sepulveda Blvd
Suite 911
Los Angeles, CA 90045-3808
Phone (310) 670-9119

Hospital & facility affiliations

  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66614CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nickolas a Tomasic MD a Professional Corporation Urology CurrentSince Nov 1, 2024 Accepting new patients
Urological Medical Associates Specialist CurrentSince Jul 1, 1998 Accepting new patients

Locations

3831 Hughes Ave
Ste 606
Culver City, CA 90232
Phone (310) 425-8060

9808 Venice Blvd
Ste 602
Culver City, CA 90232
Phone (310) 202-6277

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

8540 S Sepulveda Blvd
Ste 911
Los Angeles, CA 90045
Phone (310) 670-9119

510 N Prospect Ave
Ste 115
Redondo Beach, CA 90277
Phone (310) 530-5050

1360 W 6th St
Ste 125
San Pedro, CA 90732
Phone (310) 359-1290

3440 Lomita Blvd
Ste 440
Torrance, CA 90505
Phone (310) 530-5050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1104875160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 606",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326849",
            "telephone_number": "310-425-8060",
            "fax_number": "104-258-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 606",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326849",
            "telephone_number": "310-425-8060",
            "fax_number": "310-425-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASIC",
        "first_name": "NICKOLAS",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G66614",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G66614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G666140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.