Individual provider Active NPI

Simona Alexandra Fikhman

  • Surgical Physician Assistant
  • Studio City, CA
National Provider Identifier
1477979656
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
51462 Issued in CA
Practice address
3959 Laurel Canyon Blvd
Studio City, CA 91604-4921
Phone
(818) 505-9300
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 51462 CA Primary

Addresses

Primary practice location

3959 Laurel Canyon Blvd
Studio City, CA 91604-4921

Mailing address

3959 Laurel Canyon Blvd
Studio City, CA 91604-4921
Phone (818) 505-9300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150520001976 CA Practitioner - Physician Assistant 5395065098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians
Ocean Skin and Vein InstituteGroup PAC ID 9335482835, 16 clinicians

Practice addresses (Care Compare)

2802 Pacific Coast Hwy
Torrance, CA 90505-6702
Phone (310) 274-5372

3661 Torrance Blvd
Suite 104
Torrance, CA 90503-4898
Phone (310) 370-5670

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. CurrentSince Jul 27, 2025 Accepting new patients
Ocean Skin and Vein Institute CurrentSince Jan 1, 2026 Accepting new patients
Advanced Dermatology Surgery Center, Inc Past Accepting new patients

Locations

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

1101 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 370-5670

135 Macaw Ln
#200
Simi Valley, CA 93065
Phone (805) 522-3300

3959 Laurel Canyon Blvd
Ste F
Studio City, CA 91604
Phone (818) 505-9300

3661 Torrance Blvd
Ste 104
Torrance, CA 90503
Phone (310) 370-5670

2802 Pacific Coast Hwy
Torrance, CA 90505
Phone (310) 274-5372

13420 Newport Ave
Ste G
Tustin, CA 92780
Phone (714) 731-0061

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1477979656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 LAUREL CANYON BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044921",
            "telephone_number": "818-505-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 LAUREL CANYON BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044921",
            "telephone_number": "818-505-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKHMAN",
        "first_name": "SIMONA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "51462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.