NICOLE M. HISAKA M.A.
NPI 1356716039
Psychologist - Clinical in Los Angeles, CA

Q: What is Nicole Hisaka's NPI number?

The NPI number for Nicole Hisaka is 1356716039. It was assigned to this individual provider in the NPPES registry on December 7, 2015.

Q: What is Nicole Hisaka's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Hisaka was last updated on October 27, 2023. 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.

Active since December 07, 2015PECOS Enrolled

760 WESTWOOD PLZ # A8-159, LOS ANGELES, CA 90024(310) 794-0678 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Jul 19, 2022, Jul 12, 2018 and 1 more (4 updates tracked since 2015).

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About Nicole M. Hisaka M.a. NPPES

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

NICOLE M. HISAKA M.A. (NPI 1356716039) is an individual clinical provider in Los Angeles, California, licensed in California (33188) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356716039

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNICOLE M. HISAKACredential: M.A.

Location Address760 WESTWOOD PLZ # A8-159Los Angeles, CA 90024-5055

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771

Phone(310) 794-0678

Sole ProprietorNo

Enumeration DateDecember 7, 2015

Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration

NPPES CertifiedJuly 19, 2022

✔ NPI 1356716039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 33188

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

760 WESTWOOD PLZ # A8-159, Los Angeles, CA 90024

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole M. Hisaka M.a. 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 90024 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

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.

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 Nicole Hisaka's NPI number?

The NPI number for Nicole Hisaka is 1356716039. It was assigned to this individual provider in the NPPES registry on December 7, 2015.

Where is Nicole Hisaka located?

Nicole Hisaka practices at 760 Westwood Plz # A8-159, Los Angeles, CA 90024. The listed phone number is (310) 794-0678.

What is Nicole Hisaka's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Hisaka enrolled in Medicare?

Yes. Nicole Hisaka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Hisaka was last updated on October 27, 2023. 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.