Doctor profile · Federal record
Dr. Grace Nicksa, M.D.
Pediatric Surgery Physician (CMS: Pediatric Medicine) · Surgery Physician · Pediatric Surgery Physician · Los Angeles, CA
- NPI 1528242294
- 22 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
200 UCLA Medical Plz Ste 265
Los Angeles, CA 900955724
(310) 206-2429 - Additional location
-
300 Longwood Ave, Fegan 3
Boston, MA 021155724
(617) 919-2201 - Additional location
-
5400 Alameda Ave Bldg B
El Paso, TX 799052914
(915) 242-8402 - Additional location
-
10833 le Conte Ave # Chs72140
Los Angeles, CA 900955724 - Mailing address
-
5767 W Century Blvd Ste 400
Los Angeles, CA 900455631
Show 1 more location
Credentials & registration
- NPI registered
- December 2007 — 19 yrs on file
- Profile last updated
- December 16, 2025
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 2086S0120X — NUCC code
- State licenses (3)
- California #A113138 · Massachusetts #234436 · Texas #W0970
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528242294. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$135
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 1 | $135.00 |
By nature of payment
Frequently asked questions
What is Dr. Grace Nicksa's medical specialty?
Dr. Grace Nicksa practices Pediatric Surgery Physician in Los Angeles, CA.
Where does Dr. Grace Nicksa practice?
Dr. Grace Nicksa practices at 200 UCLA Medical Plz Ste 265, Los Angeles, CA 900955724. Office phone: 3102062429.
What is Dr. Grace Nicksa's NPI?
Dr. Grace Nicksa's National Provider Identifier (NPI) is 1528242294, issued by NPPES.
Does Dr. Grace Nicksa accept Medicare assignment?
Dr. Grace Nicksa does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.