Nicholas Penner, M.D.
NPI 1104158104 · Student in an Organized Health Care Education/Training Program · San Diego, CA
Nicholas Penner, M.D. is a Student in an Organized Health Care Education/Training Program provider in San Diego, CA (NPI 1104158104).
Provider details
- NPI number
- 1104158104
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
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
83% 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
- 2010-02-02
- Last updated
- 2010-02-02
Frequently asked questions
- What is Nicholas Penner's NPI number?
- Nicholas Penner's National Provider Identifier (NPI) is 1104158104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Penner's specialty?
- Nicholas Penner is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Nicholas Penner located?
- Nicholas Penner's practice location on file with NPPES is 402 Dickinson St, San Diego, CA 92103-6902.
- What is Nicholas Penner's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Penner is (619) 543-6529.
- Is Nicholas Penner's NPI active?
- Yes — Nicholas Penner's NPI (1104158104) is active in the NPPES registry as of the last update on 2010-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.