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

Nicholas Patrick Gannon, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1487117214

Nicholas Patrick Gannon, MD is an Orthopedic Surgery in San Francisco, California. Graduated from Medical College of Wisconsin in 2019, 7 years ago. Practices with University of California San Francisco, a 1,793-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Trained at
Medical College of Wisconsin
Licensed in
CA
In the registry since
2019
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

1500 Owens St
San Francisco, CA 94158-2334
Phone: (415) 353-2808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Divisadero St, San Francisco, CA 94143-3010 — (415) 567-6600

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence A194103 (CA)

Record details

NPI number1487117214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESApril 27, 2025
Certification dateApril 27, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2019 (7 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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