Aline Kidikian, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009233 Issued in CA

Practice address

1501 Superior Ave Ste 205
Newport Beach, CA 92663-3640

Phone

(949) 642-4974

NPI assigned

Sep 19, 2021

Last updated

Aug 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Kidney Associates IncGroup PAC ID 9335228824, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: aline.kidikian.1@13534.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13534/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern California Kidney Associates Inc.

  • Nephrology Physician
  • Newport Beach, CA
  • NPI 1770759151
  Medicare reassignment Care Compare group NPD
• Nephrology Independent Physicians Association Inc

  • Nephrology Physician
  • Fountain Valley, CA
  • NPI 1366070583
  NPD

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1962172106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-642-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633640",
            "telephone_number": "949-642-4974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Superior Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926632723",
            "country_code": "US",
            "telephone_number": "949-650-0687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDIKIAN",
        "first_name": "ALINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nesreen Khouraki, RD
• Jenni Khoury, MA
• Atef Khouzam, M.D
• Masoumeh M Kiahashemi, MFT
• Kiana Taba, MD, Inc.
• Alyssa Kido
• Monica Chau Quynh Kieu, D.O.
• Benjamin Kim-Wakamatsu, MD
• Aaron Kim
• Brian S Kim, MD

• Family Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.