Organization Active NPI

Nickolas a Tomasic MD a Professional Corporation

Doing business as Nickolas A Tomasic MD APC

  • Urology Physician
  • Culver City, CA
National Provider Identifier
1780499012
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NICKOLAS A TOMASIC MD A PROFESSIONAL CORPORATION
Doing business as
Nickolas A Tomasic MD APC
Practice address
3831 Hughes Ave Ste 606
Culver City, CA 90232-6849
Phone
(310) 425-8060
Fax
(310) 425-8260
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Dr. Nickolas A Tomasic, MDNPI 1104875160
Title
President
Phone
(310) 425-8060

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 606
Culver City, CA 90232-6849

Mailing address

3831 Hughes Ave Ste 606
Culver City, CA 90232-6849
Phone (310) 425-8060

Other names 1

  • Nickolas A Tomasic MD APC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818000878 CA Part B Supplier - Clinic/Group Practice 3173022183 Receives reassigned benefits from 1 practitioner
Practice locations: Culver City, CA

National Provider Directory

National Provider Directory

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": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1780499012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 606",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326849",
            "telephone_number": "310-425-8060",
            "fax_number": "310-425-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 606",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326849",
            "telephone_number": "310-425-8060",
            "fax_number": "310-425-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKOLAS A TOMASIC MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "TOMASIC",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-425-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nickolas A Tomasic MD APC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nickolas A Tomasic MD APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.