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

Nicole Tien, PA

Individual provider Physician Assistant · NPI 1861119356

Nicole Tien, PA is a Physician Assistant in Santa Monica, California. Graduated from University of Texas Medical Branch at Galveston in 2022, 4 years ago. Practices with Daniel Behroozan MD a Medical Corporation, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
University of Texas Medical Branch at Galveston
Licensed in
CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2221 Lincoln Blvd Ste 100
Santa Monica, CA 90405-1320
Phone: (310) 392-1111
Fax: (310) 392-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9090 Burton Way, Beverly Hills, CA 90211-1661 — (310) 392-1111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61690 (CA)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1861119356
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 25, 2022
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2022 (4 years in practice)
Group practice Daniel Behroozan Md A Medical Corporation — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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