Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anthony Paul Nicolaysen, MD

Individual provider Nephrology Physician · NPI 1154869576

Dr. Anthony Paul Nicolaysen, MD is a Nephrology in Mission Hills, California. Graduated from Oregon Health Sciences University School of Medicine in 2018, 8 years ago. Practices with Kidney Consultants Medical Group Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
CA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11550 Indian Hills Rd Ste 371
Mission Hills, CA 91345-1252
Phone: (818) 365-1194
Fax: (818) 898-3835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A174994 (CA)

Record details

NPI number1154869576
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 6, 2017
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kidney Consultants Medical Group Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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