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

Dr. Nicholas Edward Gannon, DO

Individual provider Anesthesiology Physician · NPI 1326620014

Dr. Nicholas Edward Gannon, DO is an Anesthesiology in San Diego, California. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2021, 5 years ago. Practices with Anesthesia Service Medical Group, a 237-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
CA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3626 Ruffin Rd
San Diego, CA 92123-1810
Phone: (858) 565-9666
Fax: (858) 565-9441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 20A20458 (CA)

Record details

NPI number1326620014
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2021 (5 years in practice)
Group practice Anesthesia Service Medical Group — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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