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

Niki Dejba, MD

Individual provider Family Medicine Physician · NPI 1659952620

Niki Dejba, MD is a Family Practice in Los Angeles, California. Qualified in 2020, 6 years ago. Practices with Healthcare Partners Affiliates Medical Group, a 790-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
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

1075 N Western Ave Ste 110
Los Angeles, CA 90029-2307
Phone: (213) 861-8700
Fax: (213) 861-8790
Show map & directions

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

Additional practice locations (1)

  • 1120 W Washington Blvd, Los Angeles, CA 90015-3316 — (213) 623-2225

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 192966 (CA)

Record details

NPI number1659952620
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Healthcare Partners Affiliates Medical Group — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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