Individual provider Active NPI

Roy D Nini, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
National Provider Identifier
1679633960
Registry record updated Sep 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
A79898 Issued in CA
Practice address
444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048-4165
Phone
(310) 423-9885
NPI assigned
Dec 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X A79898 CA Primary

Addresses

Primary practice location

444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048-4165

Mailing address

6217 Orange St
Ste #2
Los Angeles, CA 90048-4869
Phone (323) 571-3578

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
I20040319001429 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 5092605170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Columbia University College of Physicians and Surgeons, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roy D Nini MD IncGroup PAC ID 4385723279, 3 clinicians

Practice addresses (Care Compare)

444 S San Vicente Blvd
Los Angeles, CA 90048-4165
Phone (310) 423-9900

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79898CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rnini39374@direct.cshs.org

Organizations & group practices 1

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 2

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191024000000",
    "number": "1679633960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 ORANGE ST",
            "address_2": "STE #2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484869",
            "telephone_number": "323-571-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINI",
        "first_name": "ROY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A79898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.