Individual provider Active NPI

Karmin P Nissan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Murrieta, CA
National Provider Identifier
1497044465
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A144993 Issued in CA
Practice address
25186 Hancock Ave
Ste 200
Murrieta, CA 92562-5998
Phone
(951) 414-3484
Fax
(949) 561-5404
NPI assigned
Mar 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A144993 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A144993 CA Primary

Addresses

Primary practice location

25186 Hancock Ave
Ste 200
Murrieta, CA 92562-5998

Mailing address

25186 Hancock Ave
Murrieta, CA 92562-5998
Phone (951) 414-3484

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128002237 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 4880904432 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Chicago College of Medicine and Surgery, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Springs Anesthesia Partners IncGroup PAC ID 5991247306, 31 clinicians
Temecula Valley Anesthesia Partners IncGroup PAC ID 0648618876, 34 clinicians
Inland Valley Anesthesia Partners IncGroup PAC ID 7012355423, 32 clinicians

Practice addresses (Care Compare)

25186 Hancock Ave
Suite 200
Murrieta, CA 92562-5998
Phone (773) 715-1360

25500 Medical Ctr Dr
Murrieta, CA 92562-5965
Phone (951) 696-6000

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

Merit-based Incentive Payment System (MIPS)

Final score
58.58 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
75.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144993CAMDMarriage & Family Therapist
A144993CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Murrieta Valley Pain Specialists, Inc Pain Medicine CurrentSince Jul 1, 2021 Accepting new patients
Orion Anesthesia Consultants Inc Anesthesiology CurrentSince Mar 28, 2018 Accepting new patients
Rancho Springs Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Inland Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Temecula Surgery Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Temecula Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

25495 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 200-7777

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

25186 Hancock Ave
Ste 200
Murrieta, CA 92562
Phone (773) 715-1360

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

8945 Magnolia Ave
Ste 200
Riverside, CA 92503
Phone (951) 643-4961

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: knissan330526@direct.llu.edu

Organizations & group practices 9

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1497044465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25186 HANCOCK AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625998",
            "telephone_number": "951-414-3484",
            "fax_number": "949-561-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25186 HANCOCK AVE",
            "address_2": "STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625998",
            "telephone_number": "951-414-3484",
            "fax_number": "949-561-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSAN",
        "first_name": "KARMIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A144993",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A144993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.