NICHOLE PEGAH NIKNAFS D.O.
NPI 1962899930
Student in an Organized Health Care Education/Training Program in Colton, CA
About Nichole Pegah Niknafs D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE PEGAH NIKNAFS D.O. (NPI 1962899930) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.
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 (PECOS)
Nichole Pegah Niknafs D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Nichole Niknafs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 59 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
COLTON, CA 92324
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 Nichole Niknafs's NPI number?
The NPI number for Nichole Niknafs is 1962899930. It was assigned to this individual provider in the NPPES registry on April 17, 2015.
Where is Nichole Niknafs located?
Nichole Niknafs practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1862.
What is Nichole Niknafs's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nichole Niknafs enrolled in Medicare?
Yes. Nichole Niknafs is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nichole Niknafs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Niknafs reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Anaheim, CA), Newport Emergency Medical Group Inc (Newport Beach, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each 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 Nichole Niknafs'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 Nichole Niknafs was last updated on December 1, 2021. 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.
# Nichole Pegah Niknafs, D.O. · NPI 1962899930
Student in an Organized Health Care Education/Training Program provider in Colton, California. Individual provider, active in the CMS NPPES registry since April 17, 2015.
## Identity
- **NPI:** 1962899930 (Entity type: Individual)
- **Enumerated:** April 17, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-1862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA); Newport Emergency Medical Group Inc (NPI 1922061779, Newport Beach, CA); Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962899930) · Data from the CMS NPPES public registry.