Dr. Derek Walter Nickerson, MD
Dr. Derek Walter Nickerson, MD is a Micrographic Dermatologic Surgery (Mds) in San Diego, California. Graduated from New York Medical College in 2016, 10 years ago. Practices with Grossmont Dermatology Medical Clinic, a 10-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 10
- Trained at
- New York Medical College
- Licensed in
- CA
- In the registry since
- 2016
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5550 Carmel Mountain RdSan Diego, CA 92130-4853
Phone: (858) 943-2540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence A171167 (CA) |
|---|
Record details
| NPI number | 1265895619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2016 |
| Last updated in NPPES | May 18, 2025 |
| Certification date | May 18, 2025 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | NEW YORK MEDICAL COLLEGE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Grossmont Dermatology Medical Clinic — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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