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

Dr. Nicky Mahboob Wadiwala, DO

Individual provider Internal Medicine Physician · NPI 1255642179

Dr. Nicky Mahboob Wadiwala, DO is a Cardiovascular Disease (Cardiology) in Los Angeles, California. Qualified in 2008, 18 years ago. Practices with Boyle Heights Cardiovascular Medical Group Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1700 E Cesar E Chavez Ave Ste 1200
Los Angeles, CA 90033-2467
Phone: (323) 268-2200
Fax: (323) 268-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 20A11280 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A11280 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 20A11280 (CA)

Record details

NPI number1255642179
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2010
Last updated in NPPESMay 8, 2017

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Boyle Heights Cardiovascular Medical Group Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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