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ALICIA NAOMI NISHIOKA
NPI 1689132771
Nurse Practitioner in Long Beach, CA

Active since March 07, 2019PECOS Enrolled
5950 BRAYTON AVE, LONG BEACH, CA 90805(310) 347-7672 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Naomi Nishioka NPPES

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

ALICIA NAOMI NISHIOKA (NPI 1689132771) is an individual nurse practitioner in Long Beach, California, licensed in California (95009492) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689132771
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICIA NAOMI NISHIOKA
Location Address5950 BRAYTON AVELong Beach, CA 90805-4260
Mailing Address5950 Brayton AveLong Beach, CA 90805-4260 · (310) 347-7672
Phone(310) 347-7672
Sole ProprietorYes
Enumeration DateMarch 7, 2019
✔ NPI 1689132771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95009492
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5950 BRAYTON AVE, Long Beach, CA 90805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Naomi Nishioka 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.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Nishioka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Share Our Selves Corporation
18 mi
Federally Qualified Health Center (FQHC)
1000 N KRAEMER PL STE 204
Anaheim, CA 92806
  • Reassigned Medicare billing, California enrollment
  • 31 clinicians in this Medicare group
NPI 1184279952 (949) 270-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 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 Alicia Nishioka's NPI number?

The NPI number for Alicia Nishioka is 1689132771. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Alicia Nishioka located?

Alicia Nishioka practices at 5950 Brayton Ave, Long Beach, CA 90805. The listed phone number is (310) 347-7672.

What is Alicia Nishioka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alicia Nishioka enrolled in Medicare?

Yes. Alicia Nishioka is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Nishioka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Nishioka reassigns Medicare benefits to Share Our Selves Corporation (Anaheim, 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 Alicia Nishioka'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 Alicia Nishioka was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.