Individual provider Active NPI

Nicholas Andrew Rogers, MD

  • Obstetrics & Gynecology Physician
  • Palmdale, CA
National Provider Identifier
1124203583
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A112189 Issued in CA
Practice address
41250 12TH St W Ste B
Palmdale, CA 93551-1444
Phone
(661) 499-2720
Fax
(661) 499-2721
NPI assigned
Jan 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A112189 CA Primary

Addresses

Primary practice location

41250 12TH St W Ste B
Palmdale, CA 93551-1444

Mailing address

41250 12TH St W Ste B
Palmdale, CA 93551-1444
Phone (661) 499-2720

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
I20121119000438 CA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 7618128778 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Socal Healthnet IncGroup PAC ID 2860525813, 2 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

41250 12TH St W
Suite B
Palmdale, CA 93551-1444
Phone (661) 499-2720

5832 S Vermont Ave
Los Angeles, CA 90044-3712
Phone (323) 750-7354

5912 Santa Monica Blvd
Los Angeles, CA 90038-2043
Phone (323) 461-3888

Hospital & facility affiliations

  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Door Med Net Inc. CurrentSince Apr 6, 2024 Accepting new patients
Palmdale Women S Health Physician Group Inc Obstetrics & Gynecology CurrentSince Dec 12, 2023 Accepting new patients
Pih Health Physicians Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Pih Health Physicians CurrentSince Jan 1, 2021 Accepting new patients
Pih Health Physicians Current Accepting new patients
Socal Healthnet Inc CurrentSince Oct 8, 2012 Accepting new patients
Nicholas a Rogers MD Inc Obstetrics & Gynecology Current Accepting new patients
Sina Surgery Inc Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

5912 Santa Monica Blvd
Los Angeles, CA 90038
Phone (323) 461-3888

5832 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 750-7354

1245 Wilshire Blvd
Ste 916
Los Angeles, CA 90017
Phone (213) 410-7574

41250 12th St W
Ste B
Palmdale, CA 93551
Phone (661) 499-2720

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1124203583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "661-499-2720",
            "fax_number": "661-499-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41250 12TH ST W STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511444",
            "telephone_number": "661-499-2720",
            "fax_number": "661-499-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NICHOLAS",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A112189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.