ROSE NIKRAVESH D.O.
NPI 1720222847
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Rose Nikravesh D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSE NIKRAVESH D.O. (NPI 1720222847) is an individual psychiatry provider in Los Angeles, California, licensed in California (20A 12932) and active in the NPI registry since April 2009. She has opted out of Medicare through May 2, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Rose Nikravesh D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2025 through May 2, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90056
LOS ANGELES, CA 90056
LOS ANGELES, CA 90056
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 Rose Nikravesh's NPI number?
The NPI number for Rose Nikravesh is 1720222847. It was assigned to this individual provider in the NPPES registry on April 21, 2009.
Where is Rose Nikravesh located?
Rose Nikravesh practices at 5105 W Goldleaf Cir, Los Angeles, CA 90056. The listed phone number is (323) 298-3100.
What is Rose Nikravesh's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Rose Nikravesh enrolled in Medicare?
No. Rose Nikravesh has opted out of Medicare through May 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Rose Nikravesh was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Rose Nikravesh, D.O. · NPI 1720222847
Psychiatry physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 21, 2009.
## Identity
- **NPI:** 1720222847 (Entity type: Individual)
- **Enumerated:** April 21, 2009
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 20A 12932 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5105 W GOLDLEAF CIR, Los Angeles, CA 90056-1269
- **Phone:** (323) 298-3100
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 2, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 8, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1720222847) · Data from the CMS NPPES public registry.