LISA NICHOLSON NP
NPI 1295934479
Nurse Practitioner - Neonatal in Los Angeles, CA

Active since July 17, 2007
200 MEDICAL PLAZA SUITE 265, LOS ANGELES, CA 90095(310) 794-5066 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Nicholson Np NPPES

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

LISA NICHOLSON NP (NPI 1295934479) is an individual neonatal provider in Los Angeles, California, licensed in California (17370) and active in the NPI registry since July 2007. She maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1295934479
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameLISA NICHOLSONCredential: NP
Location Address200 MEDICAL PLAZA SUITE 265Los Angeles, CA 90095
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Enumeration DateJuly 17, 2007
Last NPPES UpdateJune 1, 2018
NPI 1295934479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in CA · 17370
200 MEDICAL PLAZA SUITE 265, Los Angeles, CA 90095

Secondary Practice Location 1

Location 13291 Loma Vista RdVentura, CA 93003-3099 · Phone (805) 652-6100

Other Identifiers 1

Other409782CA · California Board Of Regis

Other Providers at the Same Location NPPES 6

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

Pediatrics (Neonatal-Perinatal Medicine)
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095
Genetic Counselor, MS
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095
Pediatrics
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095
Genetic Counselor, MS
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095
Pediatrics
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Allergy/Immunology)
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095

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 Lisa Nicholson's NPI number?

The NPI number for Lisa Nicholson is 1295934479. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Lisa Nicholson located?

Lisa Nicholson practices at 200 Medical Plaza Suite 265, Los Angeles, CA 90095. The listed phone number is (310) 794-5066.

What is Lisa Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Lisa Nicholson was last updated on June 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.