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

Clinton R Nichols, MD

Individual provider Diagnostic Radiology Physician · NPI 1750355657

Clinton R Nichols, MD is a Diagnostic Radiology in San Diego, California. Graduated from University of Virginia School of Medicine in 1998, 28 years ago. Practices with San Diego Diagnostic Radiology Medical Group Inc, a 47-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
University of Virginia School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8745 Aero Dr Ste 200
San Diego, CA 92123-1774
Phone: (858) 565-0950
Fax: (858) 244-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A71406 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence A71406 (CA)
Body Imaging Physician Taxonomy 2085B0100X · Licence A71406 (CA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence A71406 (CA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence A71406 (CA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence A71406 (CA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence A71406 (CA)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence A71406 (CA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence A71406 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence A71406 (CA)

Record details

NPI number1750355657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESOctober 9, 2007

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice San Diego Diagnostic Radiology Medical Group Inc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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