Individual provider Active NPI

Nicole Michelle Nourmand, MD

  • Pediatrics Physician
  • Beverly Hills, CA
National Provider Identifier
1720110364
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A89815 Issued in CA
Practice address
8907 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-1937
Phone
(310) 247-8687
Fax
(310) 859-9131
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A89815 CA Primary

Addresses

Primary practice location

8907 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-1937

Mailing address

8907 Wilshire Blvd
Suite 250
Beverly Hills, CA 90211-1937
Phone (310) 247-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89815CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center Past Accepting new patients
Premier Pediatrics Beverly Hills Pediatrics Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nikki@ppbh.pcc-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1720110364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8907 WILSHIRE BLVD",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111937",
            "telephone_number": "310-247-8687",
            "fax_number": "310-859-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 WILSHIRE BLVD",
            "address_2": "SUITE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111937",
            "telephone_number": "310-247-8687",
            "fax_number": "310-859-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURMAND",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A89815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.