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

Tina Nikoomanesh, DO

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1801390042

Tina Nikoomanesh, DO is an Internal Medicine in San Diego, California. Qualified in 2018, 8 years ago. Practices with Community Memorial Health System, a 187-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4077 Fifth Ave # MER35
San Diego, CA 92103-2105
Phone: (619) 294-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 422 Arneill Rd Ste B, Camarillo, CA 93010-6434 — (805) 482-1282

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 20A17855 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801390042
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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