ALEXANDRA KIVNICK MD
NPI 1154958916
Dermatology in Los Angeles, CA
About Alexandra Kivnick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA KIVNICK MD (NPI 1154958916) is an individual dermatology provider in Los Angeles, California, licensed in California (A186493) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexandra Kivnick Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Alexandra Kivnick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 435 clinicians in this Medicare group
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
Rialto, CA 92376
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Alexandra Kivnick's NPI number?
The NPI number for Alexandra Kivnick is 1154958916. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Alexandra Kivnick located?
Alexandra Kivnick practices at 1670 E 120th St, Los Angeles, CA 90059. The listed phone number is (424) 338-1000.
What is Alexandra Kivnick's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Alexandra Kivnick enrolled in Medicare?
Yes. Alexandra Kivnick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Alexandra Kivnick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Kivnick reassigns Medicare benefits to 4 organizations: County Of Los Angeles (Los Angeles, CA), Faculty Physicians And Surgeons Of Llusm (Glendale, CA), Ocean Skin And Vein Institute (Tustin, CA) and Sac Health System (Rialto, CA). Each 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 Alexandra Kivnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alexandra Kivnick was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alexandra Kivnick, MD · NPI 1154958916
Dermatology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1154958916 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A186493 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1670 E 120TH ST, Los Angeles, CA 90059-3026
- **Phone:** (424) 338-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles (NPI 1780877613, Los Angeles, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1508255175, Glendale, CA); Ocean Skin And Vein Institute (NPI 1790246841, Tustin, CA); Sac Health System (NPI 1386266112, Rialto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154958916) · Data from the CMS NPPES public registry.