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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
757 WESTWOOD PLAZA, SURGERY, LOS ANGELES, CA 90095(310) 825-8307 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 16, 2026, Mar 30, 2020 (2 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.

NPPES Registry Identity

NPI1619505229
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameNICHOLAS VERNON PETERSONCredential: MD
Location Address757 WESTWOOD PLAZA, SURGERYLos Angeles, CA 90095-7419
Mailing Address757 Westwood PlzLos Angeles, CA 90095-7419
Phone(310) 825-8307
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 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.
757 WESTWOOD PLAZA, Los Angeles, CA 90095
Open in Google Maps ↗

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 20

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

MR. JOSHUA LEE CHOE
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, INTERNAL MEDICINE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
KEVIN HUY-KHOA HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, PSYCHIATRY
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6721
NHAN NATHAN AU MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, BOX 951752, 3108 RRUMC
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
CULLEN MAXWELL LILLEY MD, MS, MA
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, DEPARTMENT OF PATHOLOGY
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7495
BASIL HASHIMI MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, INTERNAL MEDICINE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
HANNAH ILYSE SHIP MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, INTERNAL MEDICINE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
JANEEN C GAUL RN, NNP
Nurse Practitioner (Neonatal, Critical Care)
757 WESTWOOD PLAZA
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7565
ELIZABETH JEAN VOLPICELLI
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLAZA, ROOM 3108
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9124

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 757 Westwood Plaza Surgery, Los Angeles, CA 90095. The listed phone number is (310) 825-8307.

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 September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.