DR. BRECK NICHOLS
NPI 1154447530
Pediatrics in Los Angeles, CA

Active since March 21, 2007PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-2170(323) 226-5760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Breck Nichols NPPES

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

DR. BRECK NICHOLS (NPI 1154447530) is an individual pediatrics provider in Los Angeles, California, licensed in California (A75859) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154447530
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BRECK NICHOLS
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90033-1029 · (323) 226-2170 · Fax (323) 226-5760
Fax(323) 226-5760
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154447530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A75859
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 N STATE ST, Los Angeles, CA 90033

Other Identifiers 4

Medicare ID-Type UnspecifiedW932CA · Health Center
Medicare ID-Type UnspecifiedW809BCA · Hudson
Medicare ID-Type UnspecifiedW809FCA · El Monte
Medicare ID-Type UnspecifiedW809ACA · Roybal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Breck Nichols 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 90033 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims47 services$18.33 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims8,320 services$9.50 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier14 claims228 services$2.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Breck Nichols's NPI number?

The NPI number for Breck Nichols is 1154447530. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Breck Nichols located?

Breck Nichols practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-2170.

What is Breck Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Breck Nichols enrolled in Medicare?

Yes. Breck Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breck Nichols was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.