Individual provider Active NPI

Nikita M Maniar, MD

  • Neurology Physician
  • Pasadena, CA
National Provider Identifier
1225547722
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C206035 Issued in CA
Practice address
625 S Fair Oaks Ave Ste 227
Pasadena, CA 91105-2688
Phone
(626) 639-2902
Fax
(626) 547-6373
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X C206035 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 227
Pasadena, CA 91105-2688

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other identifiers 1

IdentifierTypeStateIssuer
1760612105MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211230001808 IL Practitioner - NeurologyPractitioner - Internal Medicine 5890066880 Reassigns benefits to 1 organization
I20251204004399 CA Practitioner - Neurology 5890066880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of California Los AngelesGroup PAC ID 4587857727, 84 clinicians

Practice addresses (Care Compare)

1801 Wilshire Blvd
Santa Monica, CA 90403-5609
Phone (310) 319-5098

625 S Fair Oaks Ave
Suite 320
Pasadena, CA 91105-2674
Phone (626) 356-3167

Hospital & facility affiliations

  • Pomona Valley Home Care, Inc Home health agency, San Dimas, CA, CCN 059486
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C206035CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Los Angeles Neurology CurrentSince Dec 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Neurology CurrentSince Nov 18, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Nov 18, 2021 Accepting new patients

Locations

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

1010 W La Veta Ave
Ste 475
Orange, CA 92868
Phone (714) 565-0166

625 S Fair Oaks Ave
Ste 227
Pasadena, CA 91105
Phone (626) 254-9010

1801 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 319-5098

100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1801 W Taylor St
#2
Chicago, IL 60612
Phone (312) 355-3060

Organizations & group practices 3

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 3

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1225547722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 227",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052688",
            "telephone_number": "626-639-2902",
            "fax_number": "626-547-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "NIKITA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C206035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760612105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.