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

Dr. Nicholas Nelson Desantis, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1053317545

Dr. Nicholas Nelson Desantis, DPM is a Podiatry in San Diego, California. Qualified in 1979, 47 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Licensed in
CA
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2306 6th Ave
San Diego, CA 92101-1643
Phone: (619) 239-3286
Fax: (619) 239-0172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E2474 (CA)

Record details

NPI number1053317545
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 21, 2005
Last updated in NPPESJune 7, 2013
Mailing address2306 6th Ave, San Diego, CA 92101-1643

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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