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

Dr. Nicholas Dodge Altman, MD

Individual provider Emergency Medicine Physician · NPI 1164659959

Dr. Nicholas Dodge Altman, MD is an Emergency Medicine in Los Angeles, California. Graduated from New York University School of Medicine in 2009, 17 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2009
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

924 N Formosa Ave
Los Angeles, CA 90046-6702
Phone: (213) 925-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 — (213) 925-7375
  • 1650 Selwyn Ave, Bronx, NY 10457 — (718) 960-1400

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 264170 (NY)

Record details

NPI number1164659959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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