Active NPI
Nicolas Dikio, MD
- Obstetrics & Gynecology Physician
- Downey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A40344
- Practice address
- 11480 Brookshire Ave
Suite 201
Downey, CA 90241-5018 - Phone
- (562) 904-5151
- NPI assigned
- Aug 29, 2006
- Last updated
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A40344 | CA | Primary |
Addresses
Primary practice location
11480 Brookshire Ave
Suite 201
Downey, CA 90241-5018
Mailing address
11352 Drysdale LN
Los Alamitos, CA 90720-2936
Phone (562) 430-1760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164580965 | Medicaid | CA | |
| 1356453088 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicolas.dikio.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A40344 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Bright Health Physicians of Pih | Current | Accepting new patients | |
| Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation | Past | Accepting new patients |
Locations
11480 Brookshire Ave
Ste 201
Downey, CA 90241
Phone (562) 869-4567
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590
4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
File 50978
Los Angeles, CA 90074
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676
Organizations & group practices 5
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.
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
Obstetrics & Gynecology
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
dba PIH Health Physicians
- Family Medicine Physician
- Hacienda Heights, CA
- NPI 1811376502
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
dba Martin Luther King, Jr. Community Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1972611762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11352 DRYSDALE LN",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202936",
"telephone_number": "562-430-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11480 BROOKSHIRE AVE",
"address_2": "SUITE 201",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902415018",
"telephone_number": "562-904-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIKIO",
"first_name": "NICOLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A40344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164580965",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356453088",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicolas.dikio.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.