Individual provider Active NPI

Nicholas Kurt Kivior, PA-C

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1699157875
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004218 Issued in OH
Practice address
31845 Temecula Pkwy Ste 102
Temecula, CA 92592-2871
Phone
(951) 210-7368
Fax
(888) 972-1912
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004218 OH Primary

Addresses

Primary practice location

31845 Temecula Pkwy Ste 102
Temecula, CA 92592-2871

Mailing address

2920 Telegraph Ave Ste 100
Berkeley, CA 94705-2031
Phone (884) 234-7741

Other practice location 1

9500 Euclid Ave
E-19
Cleveland, OH 44195-0001
Phone (216) 445-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200116001429 AZ Practitioner - Physician Assistant 2860707700 Reassigns benefits to 1 organization
I20221216002468 CA Practitioner - Physician Assistant 2860707700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

31845 Temecula Pkwy
Suite 102
Temecula, CA 92592-2871
Phone (951) 210-7368

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

40461 Murrieta Hot Springs Rd
Suite J1
Murrieta, CA 92563-6402
Phone (951) 458-5710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7684AZMDNutrition Chiropractor
50.004218OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Carbon Health Medical Group of California PC PastSince Jun 16, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicholas.kivior.1@24997.direct.athenahealth.com

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1699157875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 TELEGRAPH AVE STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052031",
            "telephone_number": "884-234-7741",
            "fax_number": "888-972-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31845 TEMECULA PKWY STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922871",
            "telephone_number": "951-210-7368",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_2": "E-19",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-445-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIVIOR",
        "first_name": "NICHOLAS",
        "middle_name": "KURT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.