MS. ORIEL ASHLEY RENAULT NISSIM
NPI 1447606694
Obstetrics & Gynecology in Glendora, CA

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment
415 W CARROLL AVE FL 1, GLENDORA, CA 91741(626) 963-4124 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Sep 16, 2020 (2 updates tracked since 2020).

About Ms. Oriel Ashley Renault Nissim NPPES

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

MS. ORIEL ASHLEY RENAULT NISSIM (NPI 1447606694) is an individual obstetrics & gynecology provider in Glendora, California, licensed in California (A177711) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1447606694
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. ORIEL ASHLEY RENAULT NISSIM
Location Address415 W CARROLL AVE FL 1Glendora, CA 91741-4208
Mailing Address1041 W Badillo St Ste 104Covina, CA 91722-4194 · (626) 732-8319
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 6, 2016
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1447606694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A177711
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
415 W CARROLL AVE FL 1, Glendora, CA 91741

Accepted Insurance

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

Ms. Oriel Ashley Renault Nissim 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.

PECOS PAC ID3971881293
PECOS Enrollment IDI20220805001422
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Oriel Nissim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
440 W FOOTHILL BLVD
Glendora, CA 91741
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91741 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 Oriel Nissim's NPI number?

The NPI number for Oriel Nissim is 1447606694. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Oriel Nissim located?

Oriel Nissim practices at 415 W Carroll Ave Fl 1, Glendora, CA 91741. The listed phone number is (626) 963-4124.

What is Oriel Nissim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Oriel Nissim enrolled in Medicare?

Yes. Oriel Nissim 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 Oriel Nissim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oriel Nissim reassigns Medicare benefits to 2 organizations: Emanate Health Medical Group (Glendora, CA) and Emanate Health Medical Care Foundation (West Covina, 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 Oriel Nissim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oriel Nissim accept?

Health plans from First Choice Next list Oriel Nissim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oriel Nissim was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.