Individual provider Active NPI

Nicholas Thu Khoa DO

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1659666014
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A168046 Issued in CA
Practice address
200 UCLA Medical PLZ Ste 460
Los Angeles, CA 90095-2004
Phone
(310) 825-5510
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A168046 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ Ste 460
Los Angeles, CA 90095-2004

Mailing address

8231 Westminster Blvd
Westminster, CA 92683-3364
Phone (714) 328-2344

Other practice location 1

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900

Other practice location 2

1000 W Carson St
Dept of Surgery, Division of Plastic Surgery
Torrance, CA 90502-2004
Phone (424) 306-8332

Other practice location 3

1000 W Carson St
Dept of Surgery, Division of Plastic Surgery
Torrance, CA 90502-2004
Phone (424) 306-8332

Other practice location 4

8231 Westminster Blvd
Westminster, CA 92683
Phone (714) 328-2344

Other names 1

  • Nicholas Thu Khoa DO Professional name

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
I20240518000499 CA Practitioner - Plastic and Reconstructive Surgery 6305165820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 2264422070, 17 clinicians

Practice addresses (Care Compare)

200 UCLA Medical PLZ
Los Angeles, CA 90095-8344

Hospital & facility affiliations

  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168046CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jul 1, 2024 Accepting new patients
Nicholas Thu Khoa DO MD Inc Plastic and Reconstructive Surgery CurrentSince Sep 28, 2025 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

200 UCLA Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-5510

File 54206
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

200 UCLA Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

8231 Westminster Blvd
Westminster, CA 92683
Phone (714) 328-2344

Organizations & group practices 3

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 1

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": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1659666014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833364",
            "telephone_number": "714-328-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900952004",
            "telephone_number": "310-825-5510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3630 E Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622609",
            "country_code": "US",
            "telephone_number": "310-900-8900",
            "fax_number": "310-884-5906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St",
            "address_2": "Dept of Surgery, Division of Plastic Surgery",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "424-306-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St",
            "address_2": "Dept of Surgery, Division of Plastic Surgery",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "424-306-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8231 Westminster Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "92683",
            "country_code": "US",
            "telephone_number": "714-328-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "NICHOLAS",
        "middle_name": "THU KHOA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A168046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "DO",
            "middle_name": "THU KHOA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.