Active NPI
Nicholas R. Nikolov, M.D.
- Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1831242023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G78745
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G78745 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Ambulatory Surgery Center Inc. | Current | Accepting new patients | |
| Bedford Ambulatory Surgery Center | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1356494512
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1255063004
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1366588980
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1306999503
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.