DR. NICHOLAS NELSON DESANTIS (NPI# 1053317545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053317545 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS NELSON DESANTIS |
| Credential | D.P.M. |
| Practice Address |
2306 6th Ave San Diego CA 92101-1643 |
| Practice Telephone | 6192393286 |
| Practice Fax Number | 6192390172 |
| Mailing Telephone | 6192393286 |
| Mailing Fax Number | 6192390172 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E2474 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E24741 | 05 | |
| CA | BLUE CROSS | 000E24740 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174861025 | Nicholas G Desantis | Chiropractor | 7760 University Ave, La Mesa, CA 91942-4902 | 2013-01-28 |
| 1669576138 | Nicholas Robert Desantis | Dentist | 1240 Crescent Heights Rd, Marion, OH 43302-6408 | 2006-09-12 |
| Street Address |
2306 6TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164736476 | Park Row Podiatry Inc. | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2010-07-28 |
| 1033128053 | Jerome Anthony Wisniew | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2006-08-07 |
| 1568404572 | Mitchell L Feingold | Podiatrist | 2306 6th Ave, San Diego, CA 92101-1643 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437348919 | Ryan Yen Choy Lee | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2007-10-19 |
| 1295899888 | Podiatry Associates of San Diego | Podiatrist | 3330 Third Avenue #402, San Diego, CA 92103-5639 | 2006-12-20 |
| 1962517508 | Patricia Lynn Forg | Podiatrist | 3989 32nd St, San Diego, CA 92104-2001 | 2006-08-21 |
| 1730111469 | Renee Gregorio | Podiatrist | 3636 5th Ave, #300, San Diego, CA 92103-4230 | 2006-07-06 |
| 1962456400 | Richard M and Donald R Green Ptrs Dba San Diego Podiatry Group | Podiatrist | 2650 Camino Del Rio N, Suite 101, San Diego, CA 92108-1621 | 2006-05-20 |
| 1013911395 | Sophie I Liu | Podiatrist | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2005-06-02 |
| 1073128385 | Aisha Ahmed, Dpm, Inc. | Podiatrist | 8901 Activity Rd Ste 205, San Diego, CA 92126-4436 | 2020-09-14 |
| 1295249902 | San Diego Foot & Ankle, Inc | Podiatrist | 2650 Camino Del Rio N Ste 101, San Diego, CA 92108-1630 | 2017-11-17 |
| 1770014516 | James Willmore | Podiatrist | 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 | 2017-03-23 |
| 1699138891 | Matthew Wilson | Podiatrist | 5555 Reservoir Dr Ste 104, San Diego, CA 92120-5198 | 2016-04-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.