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

Dr. Nicky Mahboob Wadiwala, DO

Individual provider Internal Medicine Physician · NPI 1255642179

Dr. Nicky Mahboob Wadiwala, DO is registered under Cardiovascular Disease (Cardiology) in Los Angeles, California. Qualified in 2008, 18 years ago. Practices with Boyle Heights Cardiovascular Medical Group Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1700 E Cesar E Chavez Ave Ste 1200
Los Angeles, CA 90033-2467
Phone: (323) 268-2200
Fax: (323) 268-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 20A11280 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A11280 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 20A11280 (CA)

Record details

NPI number1255642179
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2010
Last updated in NPPESMay 8, 2017

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Boyle Heights Cardiovascular Medical Group Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients834
Services billed 6,425 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $254 6 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Tristar Home Health Care, Inc Home health agency · Northridge, CA
  • Adventist Health White Memorial Hospital · Los Angeles, CA
  • Providence Saint Joseph Medical Ctr Hospital · Burbank, CA

Colleagues at Boyle Heights Cardiovascular Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Los Angeles