Nicole Fiss

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1045 N Lake Ave
Pasadena, CA 91104-4521

Phone

(626) 798-0706

NPI assigned

Jan 2, 2019

Last updated

Oct 31, 2019By 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Planned Parenthood Pasadena and San Gabriel Valley Inc

  dba Planned Parenthood Pasadena

  • Community Health Clinic/Center
  • Pasadena, CA
  • NPI 1073669040
  Medicare reassignment
• Planned Parenthood Pasadena and San Gabriel Valley Inc

  dba Planned Parenthood Pasadena - Glendora

  • Community Health Clinic/Center
  • Glendora, CA
  • NPI 1497094114
  NPD
• Healthylife MG Corp

  dba St Gianna Medical Group

  • Family Medicine Physician
  • La Canada, CA
  • NPI 1184489684
  NPD (past)
• Pediatric Affiliates Medical Group Inc

  • Pediatrics Physician
  • West Hills, CA
  • NPI 1053410506
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1265905236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044521",
            "telephone_number": "626-798-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044521",
            "telephone_number": "626-798-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISS",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Fischer
• Alicia N Fisher, MFT
• Cindy Jessup Fisher, MA
• Kelly Fisher
• Cyla Fisk, MA
• Rosaleen Fitzpatrick, M.F.T.
• Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
• Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
• Five Star Home Hospice, Inc.
• Mikayla Rae Fjeld

• Medical Physician Assistant in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.