1. Home
  2. Directory
  3. California
  4. San Diego
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NICHOLAS PENNER M.D.
NPI 1104158104
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since February 02, 2010
402 DICKINSON ST, SUITE 380, SAN DIEGO, CA 92103(619) 543-6529 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Penner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS PENNER M.D. (NPI 1104158104) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1104158104
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS PENNERCredential: M.D.
Location Address402 DICKINSON ST, SUITE 380San Diego, CA 92103-6902
Mailing Address855 Beech St, Apt 322San Diego, CA 92101-2885
Phone(619) 543-6529
Sole ProprietorYes
Enumeration DateFebruary 2, 2010
✔ NPI 1104158104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
402 DICKINSON ST, San Diego, CA 92103
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHRAM KHADIVI M.D.
Internal Medicine
402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
HEATHER ABRAHIM
Registered Nurse
402 DICKINSON ST
SAN DIEGO, CA 92103
San Diego County (858) 869-5289
DR. STERLING MYLES DUBIN M.D.
Internal Medicine (Gastroenterology)
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-3973
SOPHIE MARIE DICKINSON
Student in an Organized Health Care Education/Training Program
402 DICKINSON ST
SAN DIEGO, CA 92103
San Diego County (619) 543-8254
DR. SURESH BABU RANGARAJAN M.D., MSC
Internal Medicine
402 DICKINSON ST, MULTIPURPOSE FACILITY, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6268
DR. IDA C WONG-SEFIDAN M.D.
Internal Medicine
402 DICKINSON ST, MPF 3-320
SAN DIEGO, CA 92103
San Diego County (619) 543-1849
DR. ASHMI DOSHI M.D
Hospitalist
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 543-6287
DR. TIFFANY NICOLE TANAKA M.D.
Internal Medicine (Hematology & Oncology)
402 DICKINSON ST, SUITE 380
SAN DIEGO, CA 92103
San Diego County (619) 290-7497

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Penner's NPI number?

The NPI number for Nicholas Penner is 1104158104. It was assigned to this individual provider in the NPPES registry on February 2, 2010.

Where is Nicholas Penner located?

Nicholas Penner practices at 402 Dickinson St Suite 380, San Diego, CA 92103. The listed phone number is (619) 543-6529.

What is Nicholas Penner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicholas Penner was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.