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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS VERNON PETERSON MD
NPI 1619505229
Radiology - Radiation Oncology in Los Angeles, CA

Active since March 30, 2020PECOS Enrolled
200 UCLA MEDICAL PLZ STE B265, LOS ANGELES, CA 90095(310) 825-9775(310) 794-9795 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Sep 16, 2026, Mar 30, 2020 (3 updates tracked since 2020).

About Nicholas Vernon Peterson Md NPPES

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

NICHOLAS VERNON PETERSON MD (NPI 1619505229) is an individual radiation oncology provider in Los Angeles, California, licensed in California (A183343) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619505229
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameNICHOLAS VERNON PETERSONCredential: MD
Location Address200 UCLA MEDICAL PLZ STE B265Los Angeles, CA 90095-6951
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-9775
Fax(310) 794-9795
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1619505229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in CA · A183343
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
200 UCLA MEDICAL PLZ STE B265, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1757 Westwood Plaza, SurgeryLos Angeles, CA 90095-7419 · Phone (310) 825-8307
Location 21223 16th St Ste 1100Santa Monica, CA 90404-1217 · Phone (424) 259-8777 · Fax (424) 259-8796

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Vernon Peterson Md 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 90095 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
$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.

Other Providers at the Same Location NPPES 19

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

JASMINE E GILLETT PA
Physician Assistant
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9775
AMEERA FOUAD FAREED ISMAIL M.B., CH.B.
Radiology (Diagnostic Radiology)
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 301-6800
DR. SASHA EBRAHIMI MD PHD
Student in an Organized Health Care Education/Training Program
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 267-5575
JANE YANAGAWA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7333
DAWEN YU MD
Student in an Organized Health Care Education/Training Program
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 267-5575
SHA'SHONDA LA'TRELL REVELS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7333
DR. TRUDY WU MD
Radiology (Radiation Oncology)
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9775
MICHAEL XIANG
Radiology (Radiation Oncology)
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9775

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 Nicholas Peterson's NPI number?

The NPI number for Nicholas Peterson is 1619505229. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Nicholas Peterson located?

Nicholas Peterson practices at 200 Ucla Medical Plz Ste B265, Los Angeles, CA 90095. The listed phone number is (310) 825-9775.

What is Nicholas Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Nicholas Peterson enrolled in Medicare?

Yes. Nicholas Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Peterson was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.