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

Mr. Joseph H. Nickerson IV, CRNA

Individual provider Registered Nurse · NPI 1770648578

Mr. Joseph H. Nickerson IV, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Arcadia, California. Qualified in 1999, 27 years ago. Works from 6 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

255 E Santa Clara St Ste 110
Arcadia, CA 91006-7233
Phone: (626) 294-9003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 700 W El Norte Pkwy, Escondido, CA 92026-3923 — (760) 738-7830
  • 44815 Fig Ave Ste 100, Lancaster, CA 93534-3144 — (844) 408-6589
  • 1310 W Stewart Dr Ste 310, Orange, CA 92868-3838 — (714) 633-1338
  • 44139 Monterey Ave Ste B, Palm Desert, CA 92260-8700 — (760) 773-4411
  • 207 S Santa Anita St Ste G16, San Gabriel, CA 91776-1147 — (626) 300-5300

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NA2569 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 499960RN (CA)

Record details

NPI number1770648578
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Arcadia