MOMOKA NAKAMURA NISHINO
NPI 1861349425
Nurse Practitioner - Family in Long Beach, CA
About Momoka Nakamura Nishino NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOMOKA NAKAMURA NISHINO (NPI 1861349425) is an individual family provider in Long Beach, California, licensed in California (950378019) and active in the NPI registry since March 2026. The provider is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
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
Momoka Nakamura Nishino 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 Momoka Nakamura Nishino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Encino, CA 91316
- Reassigned Medicare billing, California enrollment
- 8 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90806 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BEACH, CA 90806
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 Momoka Nakamura Nishino's NPI number?
The NPI number for Momoka Nakamura Nishino is 1861349425. It was assigned to this individual provider in the NPPES registry on March 12, 2026.
Where is Momoka Nakamura Nishino located?
Momoka Nakamura Nishino practices at 2572 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (888) 606-0911.
What is Momoka Nakamura Nishino's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Momoka Nakamura Nishino enrolled in Medicare?
Yes. Momoka Nakamura Nishino 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 Momoka Nakamura Nishino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Momoka Nakamura Nishino reassigns Medicare benefits to West La Medical Group (Encino, 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 Momoka Nakamura Nishino'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 Momoka Nakamura Nishino was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Momoka Nakamura Nishino · NPI 1861349425
Family physician in Long Beach, California. Individual provider, active in the CMS NPPES registry since March 12, 2026.
## Identity
- **NPI:** 1861349425 (Entity type: Individual)
- **Enumerated:** March 12, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 950378019 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2572 ATLANTIC AVE, Long Beach, CA 90806-2751
- **Phone:** (888) 606-0911
## 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:** West La Medical Group (NPI 1598462749, Encino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861349425) · Data from the CMS NPPES public registry.