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

Dr. Nicholas Canelo, MD

Individual provider Family Medicine Physician · NPI 1104209048

Dr. Nicholas Canelo, MD is a Family Practice in LA Jolla, California. Graduated from Warren Alpert Medical School of Brown University in 2015, 11 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CA
In the registry since
2015
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

9850 Genesee Ave Ste 320
LA Jolla, CA 92037
Phone: (858) 554-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A145725 (CA)

Record details

NPI number1104209048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2015
Last updated in NPPESJune 25, 2018
Mailing address9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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