IndividualActive
Derek Nickerson, M.D.
NPI 1265895619 · MOHS-Micrographic Surgery Physician · San Diego, CA
Provider details
- NPI number
- 1265895619
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A171167 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5550 Carmel Mountain Rd
San Diego, CA 92130-4853
Phone: (858) 943-2540
Approximate (ZIP-level) locationGet directions
Mailing address
5550 Carmel Mountain Rd
San Diego, CA 92130-4853
Registry dates
- Enumerated
- 2016-04-02
- Last updated
- 2025-05-18
- Certified
- 2025-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.