KRYSTYNA MCNICOLL MD – NPI #1750392247
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

KRYSTYNA MCNICOLL is a physician located in PACIFIC PALISADES, CA. NPPES has assigned the NPI number 1750392247 to KRYSTYNA MCNICOLL on August 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Sep 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KRYSTYNA MCNICOLL below.

NPI Profile for
KRYSTYNA MCNICOLL

NPI Number
1750392247
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KRYSTYNA MCNICOLL
Credentials
MD
Primary location
881 ALMA REAL DR STE 101
PACIFIC PALISADES, CA 90272-3792
Phone: (310) 829-8923 Fax: (424) 212-5936
1 Other location(s):
15200 W Sunset Blvd Ste 107
Pacific Palisades, CA 90272-3620
Phone: (310) 459-7736
Fax: (310) 230-0284
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Sep 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KRYSTYNA MCNICOLL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A420840
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 CA A42084

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
881 ALMA REAL DR STE 101,
PACIFIC PALISADES, CA 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KRYSTYNA MCNICOLL is affiliated with the following medical group(s):
  • HOSPITAL
    • RONALD REAGAN UCLA MEDICAL CENTER
      757 WESTWOOD PLAZA
      LOS ANGELES, CA 90095
    • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
      1250 16TH STREET
      SANTA MONICA, CA 90404
  • HOME HEALTH AGENCY
    • LUXE HOMECARE, INC
      881 ALMA REAL DRIVE, SUITE 316A
      PACIFIC PALISADES, CA 90272

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.