Anthony Paul Nicolaysen, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A174994 Issued in CA

Practice address

11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252

Phone

(818) 365-1194

Fax

(818) 898-3835

NPI assigned

Feb 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

NephrologyAlso: Internal Medicine

Education

Oregon Health Sciences University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Consultants Medical Group IncGroup PAC ID 5597739276, 13 clinicians

Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC Panorama Dialysis Dialysis facility, Panorama City, CA, CCN 052827
• Northridge Kidney Center, LLC Dialysis facility, Northridge, CA, CCN 552879
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
• Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378
• Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: anicolaysen45712@direct.davitaphysiciansolutions.com

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.

• Kidney Consultants Medical Group, Inc

  • Specialist
  • Mission Hills, CA
  • NPI 1427120682
  Medicare reassignment Care Compare group NPD
• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975
  Medicare reassignment Care Compare group

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

• Kidney Center of Panorama City, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Panorama City, CA
  • NPI 1881639342

  Dialysis facility

  Care Compare affiliation Name & address match
• Northridge Kidney Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Northridge, CA
  • NPI 1790342897

  Dialysis facility

  Care Compare affiliation Name & address match
• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation
• Pacifica of the Valley Corporation

  • General Acute Care Hospital
  • Sun Valley, CA
  • NPI 1548328750
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  Care Compare affiliation
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1154869576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451252",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 371",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451252",
            "telephone_number": "818-365-1194",
            "fax_number": "818-898-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAYSEN",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A174994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Rose Home Health Care Inc
• Nexcure Home Health Inc
• Alvin Nguyen
• Joseph Nguyen, D.C.
• Khoa Dang Nguyen, MD
• Sion Nobel, MD
• Nobels Neurodiagnostic Medical Group Inc.
• North Valley Eye Medical Group
• North Valley Eye Medical Group, Inc.
• North Valley Hematology/Oncology Medical Group

• Nephrology Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.

Verify at the official NPI Registry.