GRACE AURORE NICKSA M.D.
NPI 1528242294
Surgery - Pediatric Surgery in Los Angeles, CA

NPI Status: Active since December 18, 2007

Contact Information

200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-2429

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  • Individual
  • Female
  • Years of Experience 23
  • Surgery
  • Pediatric Surgery
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About GRACE NICKSA

This page provides the complete NPI Profile along with additional information for Grace Nicksa, a provider established in Los Angeles, California with a medical specialization in Surgery, focusing in pediatric surgery and more than 23 years of experience. She graduated from University Of Connecticut School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1528242294 assigned on December 2007. The practitioner's primary taxonomy code is 2086S0120X with license number A113138 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1528242294
Provider Name
GRACE AURORE NICKSA M.D.
Gender
Female
Entity Type
Individual
Location Address
200 UCLA MEDICAL PLZ STE 265 LOS ANGELES, CA 90095
Location Phone
(310) 206-2429
Mailing Address
5767 W CENTURY BLVD STE 400 LOS ANGELES, CA 90045
Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
12-18-2007
Last Update Date
12-16-2025
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Location Map

Secondary Locations

  • 10833 Le Conte Ave # Chs72140
    Los Angeles, CA 90095
    (310) 206-2429
  • 300 Longwood Ave Fegan 3
    Boston, MA 02115
    (617) 919-2201
  • 5400 Alameda Ave Bldg B
    El Paso, TX 79905
    (915) 242-8402

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Pediatric Surgery

Taxonomy Code
2086S0120X
Type
Allopathic & Osteopathic Physicians
License No.
A113138
License State
CA
Taxonomy Description
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

234436 (MA)
22086S0120XAllopathic & Osteopathic Physicians

Surgery
Pediatric Surgery

W0970 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Grace Nicksa is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Grace Nicksa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6507167301

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250722002612

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for GRACE AURORE NICKSA M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528242294, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 4 + 4 + 4 + 2 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1528242294.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (Pediatrics)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Nephrology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Hematology-Oncology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Gastroenterology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Dietitian, Registered
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Gastroenterology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Endocrinology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Infectious Diseases)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Nurse Practitioner (Pediatrics)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Endocrinology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Dietitian, Registered
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Critical Care Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Critical Care Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Hematology-Oncology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Hospitalist
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528242294, enumerated as an "individual" on December 18, 2007.

The provider is located at 200 UCLA MEDICAL PLZ STE 265 LOS ANGELES, CA 90095 and the phone number is (310) 206-2429.

Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.