St Nicholas Medical Group
NPI 1891026100 · Geriatric Medicine (Internal Medicine) Physician · Los Angeles, CA
St Nicholas Medical Group is a Geriatric Medicine (Internal Medicine) Physician organization in Los Angeles, CA (NPI 1891026100).
Provider details
- NPI number
- 1891026100
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Flores, Partner(323) 860-9054
- License
- A60865 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-01-26
- Last updated
- 2010-08-26
Frequently asked questions
- What is St Nicholas Medical Group's NPI number?
- St Nicholas Medical Group's National Provider Identifier (NPI) is 1891026100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Nicholas Medical Group?
- St Nicholas Medical Group is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is St Nicholas Medical Group located?
- St Nicholas Medical Group's practice location on file with NPPES is 5520 Santa Monica Blvd, Los Angeles, CA 90038-2932.
- What is St Nicholas Medical Group's phone number?
- The practice phone number listed in the NPPES registry for St Nicholas Medical Group is (323) 860-9054.
- Who is the authorized official for St Nicholas Medical Group?
- The authorized official listed on St Nicholas Medical Group's NPPES record is Jacob Flores, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Nicholas Medical Group's NPI active?
- Yes — St Nicholas Medical Group's NPI (1891026100) is active in the NPPES registry as of the last update on 2010-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.