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ALINE KIDIKIAN NP
NPI 1962172106
Nurse Practitioner - Family in Newport Beach, CA

Active since September 19, 2021PECOS EnrolledAccepts Medicare Assignment
1501 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663(949) 642-4974 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2022, Dec 21, 2021, Sep 19, 2021 (3 updates tracked since 2021).

About Aline Kidikian Np NPPES

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

ALINE KIDIKIAN NP (NPI 1962172106) is an individual family provider in Newport Beach, California, licensed in California (95009233) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newport Beach, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962172106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALINE KIDIKIANCredential: NP
Location Address1501 SUPERIOR AVE STE 205Newport Beach, CA 92663-3640
Mailing Address1501 Superior Ave Ste 205Newport Beach, CA 92663-3640 · (949) 642-4974
Phone(949) 642-4974
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 19, 2021
Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1962172106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95009233
1501 SUPERIOR AVE STE 205, Newport Beach, CA 92663
Open in Google Maps ↗

Secondary Practice Location 1

Location 11419 Superior Ave Ste 1Newport Beach, CA 92663-2723 · Phone (949) 650-0687

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

Aline Kidikian Np 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 ID7517335029
PECOS Enrollment IDI20221114003083
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 Aline Kidikian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Kidney Associates Inc.
Same address
Nephrology
1501 SUPERIOR AVE STE 205
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1770759151 (949) 642-4974

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 92663 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELNAZ MALEKAHMADI
Nurse Practitioner (Family)
1501 SUPERIOR AVE STE 205
NEWPORT BEACH, CA 92663
Orange County (949) 642-4974
BRIAN WANG D.O.
Internal Medicine (Nephrology)
1501 SUPERIOR AVE STE 205
NEWPORT BEACH, CA 92663
Orange County (949) 642-4974
CM PROVIDERS MEDICAL GROUP, PC
Internal Medicine
1501 SUPERIOR AVE STE 205
NEWPORT BEACH, CA 92663
Orange County (866) 433-9943
JULIA FREDERICK PA-C
Physician Assistant
1501 SUPERIOR AVE STE 205
NEWPORT BEACH, CA 92663
Orange County (949) 642-4974
SOUTHERN CALIFORNIA KIDNEY ASSOCIATES INC.
Internal Medicine (Nephrology)
1501 SUPERIOR AVE STE 205
NEWPORT BEACH, CA 92663
Orange County (949) 642-4974
PAUL BERJ OZUZUN M.D.
Internal Medicine (Nephrology)
1501 SUPERIOR AVE STE 205
NEWPORT BEACH, CA 92663
Orange County (949) 642-4974

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 Aline Kidikian's NPI number?

The NPI number for Aline Kidikian is 1962172106. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Where is Aline Kidikian located?

Aline Kidikian practices at 1501 Superior Ave Ste 205, Newport Beach, CA 92663. The listed phone number is (949) 642-4974.

What is Aline Kidikian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Aline Kidikian enrolled in Medicare?

Yes. Aline Kidikian 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 Aline Kidikian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aline Kidikian reassigns Medicare benefits to Southern California Kidney Associates Inc. (Newport Beach, 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 Aline Kidikian'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 Aline Kidikian was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.