MEDICARE: DR. GREGG K NISHI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	13342087-1205	UT
2	208600000X	Surgery Physician	63430	AZ
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	63430	AZ
4	208600000X	Surgery Physician	A75418	CA

General Provider Information

NPI Number	:	1972600344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGG K NISHI M.D.

Provider Business Mailing Address
First Line	:	9033 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1837
Country	:	US
Telephone Number	:	310-858-1242
Fax Number	:	310-858-1172

Provider Business Practice Location Address
First Line	:	9033 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1837
Country	:	US
Telephone Number	:	310-858-1242
Fax Number	:	310-858-1172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/21/2023

Similar Medicare Providers

1376535690 — DR. LAUREL JEANINE SCHRAMM M.D.
Practice Location Address:

9033 WILSHIRE BLVD , SUITE 300
BEVERLY HILLS, CA
90211-1837

Practice Phone: 310-860-1616
Practice Fax: 310-273-9330

1609857820 — DR. DAVID KRASNOW OD, MPH, MBA
Practice Location Address:

9033 WILSHIRE BLVD , SUITE 402
BEVERLY HILLS, CA
90211-1837

Practice Phone: 310-276-5333
Practice Fax: 310-276-8830

1396797809 — DR. MATTHEW JOSEPH ENNA M.D.
Practice Location Address:

9033 WILSHIRE BLVD , SUITE 403
BEVERLY HILLS, CA
90211-1837

Practice Phone: 310-858-3880
Practice Fax: 888-589-6241

1306888920 — JAMES HOWARD PRITCHARD M.D.
Practice Location Address:

9033 WILSHIRE BLVD
BEVERLY HILLS, CA
90211-1837

Practice Phone: 310-278-0656
Practice Fax:

1952345290 — MEDICAL IMAGING ASSOCIATES
Practice Location Address:

9033 WILSHIRE BLVD , 305
BEVERLY HILLS, CA
90211-1837

Practice Phone: 310-278-0656
Practice Fax: 310-278-7716

1669583746 — ALL VALLEY EYE INSTITUTE
Practice Location Address:

9033 WILSHIRE BLVD , SUITE 206
BEVERLY HILLS, CA
90211-1837

Practice Phone: 310-274-6601
Practice Fax: 310-285-9846

Directions to “ DR. GREGG K NISHI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.