Organization Active NPI

Nicholas R. Nikolov, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1306999503
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G78745 Issued in CA
Legal business name
NICHOLAS R. NIKOLOV, M.D.
Practice address
436 N Bedford Dr
#207
Beverly Hills, CA 90210-4310
Phone
(310) 247-1932
Fax
(310) 247-8140
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Dr. Nicholas R. Nikolov, M.D.NPI 1831242023
Title
Owner
Phone
(310) 247-1932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G78745 CA Primary

Addresses

Primary practice location

436 N Bedford Dr
#207
Beverly Hills, CA 90210-4310

Mailing address

436 N Bedford Dr
Ste 207
Beverly Hills, CA 90210-4310
Phone (310) 247-1932

National Provider Directory

National Provider Directory
Tax ID family
Nicholas R Nikolov a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

436 N Bedford Dr
Ste 207
Beverly Hills, CA 90210
Phone (310) 247-1932

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1306999503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "STE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-247-1932",
            "fax_number": "310-247-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "#207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-247-1932",
            "fax_number": "310-247-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS R. NIKOLOV, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "NIKOLOV",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-247-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G78745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.