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

Nicole Lauren Depolo, MD

Individual provider Surgery Physician · NPI 1164080636

Nicole Lauren Depolo, MD is a General Surgery in Loma Linda, California. Graduated from George Washington University School of Medicine in 2019, 7 years ago. Practices with Johns Hopkins University, a 2,855-clinician group and works from 2 locations. Licensed in Maryland.

Years since qualifying
7
Trained at
George Washington University School of Medicine
Licensed in
MD
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

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 955-8893

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence D0103262 (MD)

Record details

NPI number1164080636
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Johns Hopkins University — 2855 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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