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

Nicklaus Nishijima

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144896234

Nicklaus Nishijima is a Podiatry in Vista, California. Graduated from California School of Podiatric Medicine in 2022, 4 years ago. Practices with S Luke Berthelsen DPM Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2067 W Vista Way Ste 265
Vista, CA 92083-6034
Phone: (760) 463-9155
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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 E6118 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144896234
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2021
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address2067 W Vista Way Ste 265, Vista, CA 92083-6034

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice S Luke Berthelsen Dpm Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vista