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

Dr. Andrew Burton Dickerson

Individual provider Pediatrics Physician · NPI 1063916633

Dr. Andrew Burton Dickerson is a Gastroenterology in San Diego, California. Graduated from University of Tennessee, Hsc, College of Medicine in 2014, 12 years ago. Practices with Rady Children's Hospital San Diego, a 161-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3030 Childrens Way
San Diego, CA 92123-4232
Phone: (858) 966-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence A164904 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A164904 (CA)

Record details

NPI number1063916633
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Rady Children'S Hospital San Diego — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Diego