Organization Active NPI

Nisha Warikoo MD Inc

  • Child & Adolescent Psychiatry Physician
  • Costa Mesa, CA
National Provider Identifier
1710506308
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
NISHA WARIKOO MD INC
Practice address
301 Victoria St
Costa Mesa, CA 92627-1995
Phone
(949) 665-0453
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Nisha Warikoo, MDNPI 1306164462
Title
Owner
Phone
(949) 665-0453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

301 Victoria St
Costa Mesa, CA 92627-1995

Mailing address

19200 Von Karman Ave Ste 430
Irvine, CA 92612-8553
Phone (949) 665-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220801001961 CA Part B Supplier - Clinic/Group Practice 1153703608 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA; Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

19200 Von Karman Ave
Ste 623
Irvine, CA 92612

19200 Von Karman Ave
Ste 430
Irvine, CA 92612

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1710506308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 VON KARMAN AVE STE 430",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128553",
            "telephone_number": "949-665-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271995",
            "telephone_number": "949-665-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA WARIKOO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "WARIKOO",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-665-0453",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.