P.B. NIKRAVESH DPM, APC
NPI 1083969018
Podiatrist - Primary Podiatric Medicine in Los Angeles, CA
About P.b. Nikravesh Dpm, Apc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
P.B. NIKRAVESH DPM, APC (NPI 1083969018) is a healthcare organization registered as a primary podiatric medicine in Los Angeles, California and active in the NPI registry since July 2012. The organization lists Yvette Ureta, Medical Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
P.b. Nikravesh Dpm, Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to P.B. Nikravesh DPM, Apc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Angeles, CA 90048
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 P.B. Nikravesh Dpm, Apc's NPI number?
The NPI number for P.B. Nikravesh Dpm, Apc is 1083969018. It was assigned to this organization in the NPPES registry on July 16, 2012.
Where is P.B. Nikravesh Dpm, Apc located?
P.B. Nikravesh Dpm, Apc is located at 6404 Wilshire Blvd Ste 600, Los Angeles, CA 90048. The listed phone number is (323) 782-8586.
What is P.B. Nikravesh Dpm, Apc's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.
Is P.B. Nikravesh Dpm, Apc enrolled in Medicare?
Yes. P.B. Nikravesh Dpm, Apc is registered in the Medicare PECOS enrollment system.
When is P.B. Nikravesh Dpm, Apc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through P.B. Nikravesh Dpm, Apc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to P.B. Nikravesh Dpm, Apc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for P.B. Nikravesh Dpm, Apc was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# P.b. Nikravesh Dpm, Apc · NPI 1083969018
Primary Podiatric Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since July 16, 2012.
## Identity
- **NPI:** 1083969018 (Entity type: Organization)
- **Enumerated:** July 16, 2012
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **Organization subpart:** No
- **Authorized official:** Yvette Ureta, MEDICAL ASSISTANT
## Practice location
- **Address:** 6404 WILSHIRE BLVD STE 600, Los Angeles, CA 90048-5501
- **Phone:** (323) 782-8586 · **Fax:** (323) 782-8528
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, California, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2012
- **Other identifiers:** Other E4103 (CA); Medicare UPIN U68362 (CA); Medicaid 000E41032 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083969018) · Data from the CMS NPPES public registry.