LISA A NICHOLAS MD
NPI 1750380648
Obstetrics & Gynecology in Los Angeles, CA

Q: What is Lisa Nicholas's NPI number?

The NPI number for Lisa Nicholas is 1750380648. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is Lisa Nicholas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Nicholas was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment

77.34/100

CMS Quality Rating

200 MEDICAL PLZ, STE 430, LOS ANGELES, CA 90095(310) 794-7274 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa A Nicholas Md NPPES

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

LISA A NICHOLAS MD (NPI 1750380648) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (A37695) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1980).

NPPES Registry Identity

NPI1750380648

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLISA A NICHOLASCredential: MD

Location Address200 MEDICAL PLZ, STE 430Los Angeles, CA 90095-0001

Mailing Address5767 W Century Blvd, Ste 400Los Angeles, CA 90045-5631 · (310) 794-7274

Phone(310) 794-7274

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 1980

Enumeration DateJuly 21, 2005

Last NPPES UpdateApril 19, 2010

✔ NPI 1750380648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A37695

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 MEDICAL PLZ, Los Angeles, CA 90095

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Other Identifiers 2

Other00A376950CA · Medi Cal

Medicare PINCU772ZCA

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

Lisa A Nicholas 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 ID9032179254

PECOS Enrollment IDI20041012001615

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services31 patients

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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.55

Promoting Interoperability

100

Improvement Activities

Cost

39.93

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.

INGRID RODI M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

200 MEDICAL PLZ, 202
LOS ANGELES, CA 90095

Los Angeles County (310) 794-7274

ARIE BELLDEGRUN MD

Urology

200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095

Los Angeles County (310) 794-7700

JOEL AVRAM SERCARZ MD

Otolaryngology

200 MEDICAL PLZ, #550
LOS ANGELES, CA 90095

Los Angeles County (310) 206-6688

ROBERT KAIDA CHIN MD, PHD

Radiology (Radiation Oncology)

200 MEDICAL PLZ, SUITE B265
LOS ANGELES, CA 90095

Los Angeles County (310) 301-9775

LAWRENCE ANDREW YEATMAN MD

Internal Medicine (Cardiovascular Disease)

200 MEDICAL PLZ, #365,530,420,120
LOS ANGELES, CA 90095

Los Angeles County (310) 582-6220

HENRY K KAWAMOTO MD

Surgery

200 MEDICAL PLZ, STE 465
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5510

SHARON L HAME MD

Orthopaedic Surgery (Sports Medicine)

200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095

Los Angeles County (310) 319-1234

DR. JOHN N. MAFI M.D.

Internal Medicine

200 MEDICAL PLZ, SUITE 365
LOS ANGELES, CA 90095

Los Angeles County (310) 794-2280

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 Lisa Nicholas's NPI number?

The NPI number for Lisa Nicholas is 1750380648. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Lisa Nicholas located?

Lisa Nicholas practices at 200 Medical Plz Ste 430, Los Angeles, CA 90095. The listed phone number is (310) 794-7274.

What is Lisa Nicholas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Nicholas enrolled in Medicare?

Yes. Lisa Nicholas 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 Lisa Nicholas was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.