Nikki Mottahedeh, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

59210 Issued in CA

Practice address

15477 Ventura Blvd Ste 100
Sherman Oaks, CA 91403-3046

Phone

(818) 906-6900

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Solutions Medical CorpGroup PAC ID 1759379993, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: nikki.kadkhoda.1@28334.direct.athenahealth.com

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.

• MD Solutions Medical Corp

  dba Unified Health care Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1811586076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD STE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033046",
            "telephone_number": "818-906-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD STE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033046",
            "telephone_number": "818-906-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTAHEDEH",
        "first_name": "NIKKI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Kelly Morpurgo, LMFT
• Morrison Anesthesia Services, P.C.
• Stephen Anthony Morrison, PT
• Earlene Yvonne Moss
• Kenneth Lee Moss, CATC NO. 218978 III
• Ayush Pitu Motwani
• Sherif Adel Mourkos, RPH
• Jazmin Moya
• MP McAndrew Inc (Valley Center for Reproductive Health)
• Tariqq Muhammad

• Physician Assistant in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.