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MR. EDWARD BURGOS NINO NP
NPI 1053486944
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since November 24, 2006PECOS Enrolled
11080 W OLYMPIC BLVD, LOS ANGELES, CA 90064(310) 913-4310 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 4, 2025, Dec 14, 2018 (2 updates tracked since 2018).

About Mr. Edward Burgos Nino Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWARD BURGOS NINO NP (NPI 1053486944) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (NP14333) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053486944
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EDWARD BURGOS NINOCredential: NP
Location Address11080 W OLYMPIC BLVDLos Angeles, CA 90064-1937
Mailing Address11080 W Olympic BlvdLos Angeles, CA 90064-1937 · (310) 913-4310
Phone(310) 913-4310
Sole ProprietorNo
Enumeration DateNovember 24, 2006
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1053486944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP14333
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP #14333 (CA)
11080 W OLYMPIC BLVD, Los Angeles, CA 90064
Open in Google Maps ↗

Other Identifiers 1

OtherWNP14333ACA · Ppin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edward Burgos Nino Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVETTE NICOLE VENEGAS
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (213) 523-9193
KECIA MCDANIEL OTR
Occupational Therapist
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
DOLORES J GONZALEZ
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (424) 388-1038
SOPHIA DANIELS
Student in an Organized Health Care Education/Training Program
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
MARIA FERNANDA BLANCO MENDOZA
Social Worker (Clinical)
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6500
DR. KENNETH S. CHUANG M.D.
Psychiatry & Neurology (Psychiatry)
11080 W OLYMPIC BLVD, 4TH FLOOR
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6513
MRS. JOVANA GOMEZ
Community Health Worker
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6579
CHERRYL LAVONNE DAVIS-WATSON
Community Health Worker
11080 W OLYMPIC BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 966-6674

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Nino's NPI number?

The NPI number for Edward Nino is 1053486944. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Edward Nino located?

Edward Nino practices at 11080 W Olympic Blvd, Los Angeles, CA 90064. The listed phone number is (310) 913-4310.

What is Edward Nino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edward Nino enrolled in Medicare?

Yes. Edward Nino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Nino was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.