Nilufer S Rustomji, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54996 Issued in CA

Practice address

6167 Bristol Pkwy Ste 425
Culver City, CA 90230-6610

Phone

(310) 237-1833

NPI assigned

Nov 1, 2017

Last updated

May 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skin by Lovely

  • Clinic/Center
  • Santa Monica, CA
  • NPI 1992230718
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1215449004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 425",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306610",
            "telephone_number": "310-237-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6167 BRISTOL PKWY STE 425",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306610",
            "telephone_number": "310-237-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTOMJI",
        "first_name": "NILUFER",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Rule, M.A.
• Chizelle Rush, MD
• Jordan E Rush
• Hubert Anthony Russell, M.D.
• Robert Russow, MA, OTR/L
• Derrick Rutledge
• Sophia Ruvalcaba
• RW McComb Dental Corp (McComb Orthodontics)
• RW McComb Dental Corp
• Isaac Ryaboy, RBT, B.A.

• Physician Assistant in Culver City, CA
• Providers in Culver City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.