Nicholas Nelson Desantis in San Diego - Foot & Ankle Surgery

Nicholas Nelson Desantis - NPI 1053317545

Nicholas Nelson Desantis is a Foot & Ankle Surgery in San Diego, California. Nicholas Nelson Desantis practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Nicholas Nelson Desantis is 1053317545. The last update date is 2013-06-07.

Nicholas Nelson Desantis's current location address is 2306 6th Ave, San Diego, California. You can contact this provider via phone number 6192393286 and fax number 6192390172. The mailing address for Nicholas Nelson Desantis is 2306 6th Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas Nelson Desantis
Address 2306 6th Ave, San Diego, California
Phone Number 6192393286
Fax Number 6192390172
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1053317545
Provider Enumeration Date 2005-06-21
Last Updated Date 2013-06-07

Provider Mailing Address Detail

Address 2306 6th Ave
City San Diego
State California (CA)
Post Code 9210116430
Phone Number 6192393286
Fax Number 6192390172

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No E2474
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E24740 CA BLUE CROSS
000E24741 CA --

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FAQs about Nicholas Nelson Desantis

What is the unique identification code assigned to Nicholas Nelson Desantis by the Centers for Medicare & Medicaid Services?

The Nicholas Nelson Desantis has been issued the NPI (National Provider Identifier) 1053317545. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Nicholas Nelson Desantis's facilities are situated?

The facilities of Nicholas Nelson Desantis are physically located at the following address: 2306 6Th Ave, San Diego, CA, 9210116430.

What is Nicholas Nelson Desantis's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nicholas Nelson Desantis is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053317545 to Nicholas Nelson Desantis?

The Centers for Medicare & Medicaid Services originally issued the 1053317545 to Nicholas Nelson Desantis on 2005-06-21.

As of what date were the details pertaining to Nicholas Nelson Desantis last refreshed?

The information related to the Nicholas Nelson Desantis, including its address, specialty, and other relevant details, was last updated on 2013-06-07.

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