SUSANNE B. NICHOLAS MD – NPI #1972523512
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

SUSANNE NICHOLAS is a physician located in LOS ANGELES, CA. NPPES has assigned the NPI number 1972523512 to SUSANNE NICHOLAS on July 19, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 16 years ago on Jul 13, 2010. 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 SUSANNE NICHOLAS below.

NPI Profile for
SUSANNE B. NICHOLAS

NPI Number
1972523512
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSANNE B. NICHOLAS
Credentials
MD
Primary location
200 MEDICAL PLAZA
#365,530,420,120
LOS ANGELES, CA 90095
Phone: (310) 825-6301 Fax:
Mailing address
5767 W CENTURY BLVD
SUITE 200
LOS ANGELES, CA 90045-5632
Phone: (310) 794-7555 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSANNE NICHOLAS

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
MEDICAIDCA00G701740
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
207RN0300X
- Internal Medicine / Nephrology (Primary)
CA G70174

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.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE - Graduated 1989
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUSANNE NICHOLAS is affiliated with the following medical group(s):
  • HOSPITAL
    • RONALD REAGAN UCLA MEDICAL CENTER
      757 WESTWOOD PLAZA
      LOS ANGELES, CA 90095

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