| Jason Nikzad, DO | |
|
8405 Pershing Dr Ste 206, Playa Del Rey, CA 90293-7860 | |
| (310) 525-6064 | |
| Not Available |
| Full Name | Jason Nikzad |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 8405 Pershing Dr Ste 206, Playa Del Rey, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508121674 | NPI | - | NPPES |
| 006444400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS11117 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 20A12653 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedars-sinai Medical Center | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | Clinic Services Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394 |
| Entity Name | Team Physicians Of Northern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Nikzad, DO 4140 W 190th St, Torrance, CA 90504-5513 Ph: () - | Jason Nikzad, DO 8405 Pershing Dr Ste 206, Playa Del Rey, CA 90293-7860 Ph: (310) 525-6064 |