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NIKI DEJBA MD
NPI 1659952620
Family Medicine in Los Angeles, CA

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
1075 N WESTERN AVE STE 110, LOS ANGELES, CA 90029(213) 861-8700(213) 861-8790 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2025, Nov 15, 2024, Oct 2, 2024 and 1 more (4 updates tracked since 2021).

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

NPI1659952620
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNIKI DEJBACredential: MD
Location Address1075 N WESTERN AVE STE 110Los Angeles, CA 90029-2307
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(213) 861-8700
Fax(213) 861-8790
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 20, 2021
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1659952620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 192966
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1075 N WESTERN AVE STE 110, Los Angeles, CA 90029
Open in Google Maps ↗

Secondary Practice Location 1

Location 11120 W Washington BlvdLos Angeles, CA 90015-3316 · Phone (213) 623-2225

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID7911449301
PECOS Enrollment IDI20240613001191
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.

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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
18 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 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.

When was this NPI record last updated?

The NPPES record for Niki Dejba was last updated on December 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.