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

Mikhail Nizamov

Individual provider Certified Registered Nurse Anesthetist · NPI 1669863809

Mikhail Nizamov is a Certified Registered Nurse Anesthetist (CRNA) in Palm Springs, California. Qualified in 2014, 12 years ago. Practices with La Jolla Anesthesia Associates, LP, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone: (760) 323-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000245 (CA)

Record details

NPI number1669863809
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 10, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice La Jolla Anesthesia Associates, Lp — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Palm Springs