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

Nicketti Marie Handy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194257816

Nicketti Marie Handy, MD is a General Surgery in Burbank, California. Graduated from Tufts University School of Medicine in 2017, 9 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
2
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

181 S Buena Vista St Fl 3
Burbank, CA 91505-4504
Phone: (818) 847-3781
Fax: (818) 572-9420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2200 Santa Monica Blvd, Santa Monica, CA 90404-2312 — (310) 449-5291
  • 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 — (310) 315-6125

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A188123 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194257816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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