Robert P. Nisenbaum, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A65903 Issued in CA

Practice address

2080 Century Park E
Suite 1609
Los Angeles, CA 90067-2001

Phone

(310) 553-7151

Fax

(310) 286-2184

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295732154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 COY DR",
            "address_2": "SUITE 1609",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234542",
            "telephone_number": "310-308-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1609",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-7151",
            "fax_number": "310-286-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISENBAUM",
        "first_name": "ROBERT",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A659030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasiem Marriam Niroumand, M.D.
• Sam Niruyi, DDS
• Shauna Gabriella Nisani
• Kenneth Nisbet, MD
• Kenisha Akeila Nisbett, D.O.
• Alex Nishi
• Dawnell Nishijima, ATC
• Melanie Nishijo, PHARMD
• Camille Thuy Nishikawa, D.D.S.
• Patricia Nishikawa

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.