NICHOLAS N. NISSEN M.D. – NPI #1174507099
Surgery

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Surgery

NICHOLAS NISSEN is a surgeon located in LOS ANGELES, CA. NPPES has assigned the NPI number 1174507099 to NICHOLAS NISSEN on December 05, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0102X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Critical Care

The NPI profile was last updated on Aug 15, 2025. 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 NICHOLAS NISSEN below.

NPI Profile for
NICHOLAS N. NISSEN

NPI Number
1174507099
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS N. NISSEN
Credentials
M.D.
Primary location
127 S SAN VICENTE BLVD FL 7
LOS ANGELES, CA 90048-3311
Phone: (310) 423-6746 Fax: (310) 423-7596
2 Other location(s):
8700 BEVERLY BLVD.
LOS ANGELES, CA 90048-1865
Phone: (310) 967-2641
Fax: (310) 967-1800
8900 Beverly Blvd Fl 3
West Hollywood, CA 90048-2438
Phone: (310) 423-2641
Fax: (310) 423-4552
Mailing address
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 15, 2025

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.

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
2086S0102X
- Surgery / Surgical Critical Care (Primary)		 CA G85301
208600000X
- Surgery		 CA G85301
204F00000X
- Transplant Surgery		 CA G85301

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 MINNESOTA MEDICAL SCHOOL - Graduated 1987
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
NICHOLAS NISSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH BAKERSFIELD
      2615 CHESTER AVENUE
      BAKERSFIELD, CA 93301
    • CEDARS-SINAI MEDICAL CENTER
      8700 BEVERLY BLVD
      LOS ANGELES, CA 90048
    • HOAG MEMORIAL HOSPITAL PRESBYTERIAN
      ONE HOAG DRIVE
      NEWPORT BEACH, CA 92663
    • PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER
      18321 CLARK STREET
      TARZANA, CA 91356
    • TORRANCE MEMORIAL MEDICAL CENTER
      3330 LOMITA BLVD
      TORRANCE, CA 90509
  • HOME HEALTH AGENCY
    • BEST TRUST HOME HEALTH INC
      12509 OXNARD STREET, SUITE 204
      N HOLLYWOOD, CA 91606
    • HEALING CARE HOME HEALTH, INC
      1012 E. COLORADO ST. SUITE 220
      GLENDALE, CA 91205

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