Individual provider Active NPI

Nicholas R. Nikolov, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1831242023
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G78745 Issued in CA
Practice address
436 N Bedford Dr
Ste. 207
Beverly Hills, CA 90210-4310
Phone
(310) 247-1932
Fax
(310) 247-8140
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G78745 CA Primary

Addresses

Primary practice location

436 N Bedford Dr
Ste. 207
Beverly Hills, CA 90210-4310

Mailing address

436 N Bedford Dr Ste 207
Beverly Hills, CA 90210-4312
Phone (310) 247-1932

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G78745CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Ambulatory Surgery Center Inc. Current Accepting new patients
Bedford Ambulatory Surgery Center CurrentSince Aug 23, 2012 Accepting new patients
Nicholas R. Nikolov, a Medical Corporation Plastic Surgery Past Accepting new patients
Nicholas R. Nikolov, M.D. Plastic Surgery Past Accepting new patients

Locations

436 N Bedford Dr
Ste 215
Beverly Hills, CA 90210
Phone (310) 247-1932

Organizations & group practices 4

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1831242023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR STE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104312",
            "telephone_number": "310-247-1932",
            "fax_number": "310-247-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "STE. 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-247-1932",
            "fax_number": "310-247-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLOV",
        "first_name": "NICHOLAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G78745",
            "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 Oct 21, 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.