NIKI DEJBA MD
NPI 1659952620
Family Medicine in Los Angeles, CA
About Niki Dejba Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKI DEJBA MD (NPI 1659952620) is an individual family medicine provider in Los Angeles, California, licensed in California (192966) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Niki Dejba Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Niki Dejba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 2,052 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Niki Dejba's NPI number?
The NPI number for Niki Dejba is 1659952620. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Niki Dejba located?
Niki Dejba practices at 1075 N Western Ave Ste 110, Los Angeles, CA 90029. The listed phone number is (213) 861-8700.
What is Niki Dejba's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Niki Dejba enrolled in Medicare?
Yes. Niki Dejba 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 organization bills Medicare for Niki Dejba's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niki Dejba reassigns Medicare benefits to Healthcare Partners Affiliates Medical Group (Los Angeles, CA). The 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 Niki Dejba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Niki Dejba was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Niki Dejba, MD · NPI 1659952620
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1659952620 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 192966 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1075 N WESTERN AVE STE 110, Los Angeles, CA 90029-2307
- **Phone:** (213) 861-8700 · **Fax:** (213) 861-8790
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthcare Partners Affiliates Medical Group (NPI 1659312593, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659952620) · Data from the CMS NPPES public registry.