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

Grace Aurore Nicksa, MD

Individual provider Pediatric Surgery Physician · NPI 1528242294

Grace Aurore Nicksa, MD is a Pediatric Medicine in Los Angeles, California. Qualified in 2004, 22 years ago. Works from 4 locations. Licensed in California, Massachusetts and Texas.

Years since qualifying
22
Licensed in
CA, MA, TX
In the registry since
2007
Specialties on file
3
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

200 UCLA Medical Plz Ste 265
Los Angeles, CA 90095-5724
Phone: (310) 206-2429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 10833 Le Conte Ave # Chs72140, Los Angeles, CA 90095-5724 — (310) 206-2429
  • 300 Longwood Ave, Boston, MA 02115-5724 — (617) 919-2201
  • 5400 Alameda Ave Bldg B, El Paso, TX 79905-2914 — (915) 242-8402

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence A113138 (CA)
Surgery Physician Taxonomy 208600000X · Licence 234436 (MA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence W0970 (TX)

Record details

NPI number1528242294
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 18, 2007
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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