NIDAL ALKAFARNA
NPI 1053796136
Physician Assistant - Surgical in Los Angeles, CA

Active since July 30, 2015PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033(323) 442-5849(760) 568-6470 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2024, Sep 25, 2020, Sep 11, 2020 and 2 more (5 updates tracked since 2017).

About Nidal Alkafarna NPPES

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

NIDAL ALKAFARNA (NPI 1053796136) is an individual surgical provider in Los Angeles, California, licensed in California (PA54353) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Santa Margarita, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053796136
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameNIDAL ALKAFARNA
Location Address1520 SAN PABLO ST STE 4300Los Angeles, CA 90033-5330
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5849
Fax(760) 568-6470
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 30, 2015
Last NPPES UpdateJune 21, 20245 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1053796136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA54353
1520 SAN PABLO ST STE 4300, Los Angeles, CA 90033

Secondary Practice Location 1

Location 122431 Antonio Pkwy # B160-613Rancho Santa Margarita, CA 92688-2804 · Phone (855) 727-2251 · Fax (855) 727-2251

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nidal Alkafarna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032423280
PECOS Enrollment IDI20170602002100
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
18 services18 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
18 services18 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
12 services12 patients

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.

Social Worker (Clinical)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery (Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Dietitian, Registered
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053796136, enumerated as an "individual" on July 30, 2015.

The provider is located at 1520 SAN PABLO ST STE 4300 LOS ANGELES, CA 90033 and the phone number is (323) 442-5849.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.