Active NPI
Nikhil Jayant Nadkarni, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1528421328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A155916
- Practice address
- 760 Westwood PLZ # 17-413
Los Angeles, CA 90095 - Phone
- (310) 794-2079
- Fax
- (504) 500-9252
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Psychiatry Physician | 2084P0800X | A155916 | CA | Primary |
Addresses
Primary practice location
760 Westwood PLZ # 17-413
Los Angeles, CA 90095
Mailing address
760 Westwood PLZ # 17-413
Los Angeles, CA 90095-8358
Phone (310) 794-2079
Other practice location 1
757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 267-7415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A155916 | Other | CA | CALIFORNIA MEDICAL BOARD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250123000097 | NY | Practitioner - Psychiatry | 1456604305 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155916 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osier Health PC | Psychiatry | Current | Accepting new patients |
| Willow Health, Inc | Past | Accepting new patients |
Locations
1130 Bedford Ave
#1061
Brooklyn, NY 11216
Phone (844) 488-3223
169 Madison Ave
#15906
New York, NY 10016
Phone (646) 814-1530
169 Madison Ave
Ste 15906
New York, NY 10016
Interoperability endpoints
- nikhil.nadkarni@549960591081476.direct.elationemr.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1841909157
-
- Clinical Social Worker
- New York, NY
- NPI 1184548687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1528421328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ # 17-413",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958358",
"telephone_number": "310-794-2079",
"fax_number": "504-500-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLZ # 17-413",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-794-2079",
"fax_number": "504-500-9252"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900958358",
"country_code": "US",
"telephone_number": "310-267-7415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NADKARNI",
"first_name": "NIKHIL",
"middle_name": "JAYANT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A155916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL BOARD LICENSE",
"identifier": "A155916",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.