Individual provider Active NPI

Nicole Comfort, NP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1861978900
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95007787 Issued in CA
Practice address
1703 Termino Ave Ste 207
Long Beach, CA 90804-2128
Phone
(562) 804-5602
Fax
(562) 804-5605
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPF95007787 CA Primary

Addresses

Primary practice location

1703 Termino Ave Ste 207
Long Beach, CA 90804-2128

Mailing address

351 E 181St St
Carson, CA 90746-1814
Phone (310) 989-5331

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191210003501 CA Practitioner - Nurse Practitioner 8527491281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Medical Solutions Inc a Medical GroupGroup PAC ID 5294783080, 37 clinicians

Practice addresses (Care Compare)

8920 Wilshire Blvd
Suite 310
Beverly Hills, CA 90211-2003
Phone (310) 553-5203

Hospital & facility affiliations

  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376
  • Lac/Rancho Los Amigos National Rehabilitation Ctr Hospital, Downey, CA, CCN 050717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95007787CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Oct 30, 2025 Accepting new patients
County of Los Angeles CurrentSince Oct 30, 2025 Accepting new patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Oct 1, 2020 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1861978900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 E 181ST ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461814",
            "telephone_number": "310-989-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042128",
            "telephone_number": "562-804-5602",
            "fax_number": "562-804-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMFORT",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95007787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.