NICKLAUS NISHIJIMA
NPI 1144896234
Podiatrist - Foot & Ankle Surgery in Vista, CA

Active since May 31, 2021PECOS EnrolledAccepts Medicare Assignment
2067 W VISTA WAY STE 265, VISTA, CA 92083(760) 463-9155 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, May 31, 2021 (2 updates tracked since 2021).

About Nicklaus Nishijima NPPES

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

NICKLAUS NISHIJIMA (NPI 1144896234) is an individual foot & ankle surgery provider in Vista, California, licensed in California (E6118) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2022).

NPPES Registry Identity

NPI1144896234
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameNICKLAUS NISHIJIMA
Location Address2067 W VISTA WAY STE 265Vista, CA 92083-6034
Mailing Address2067 W Vista Way Ste 265Vista, CA 92083-6034 · (760) 463-9155
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2022
Enumeration DateMay 31, 2021
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1144896234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E6118
2067 W VISTA WAY STE 265, Vista, CA 92083

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicklaus Nishijima is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294244877
PECOS Enrollment IDI20250604002295
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
2067 W VISTA WAY STE 265
VISTA, CA 92083

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 Nicklaus Nishijima's NPI number?

The NPI number for Nicklaus Nishijima is 1144896234. It was assigned to this individual provider in the NPPES registry on May 31, 2021.

Where is Nicklaus Nishijima located?

Nicklaus Nishijima practices at 2067 W Vista Way Ste 265, Vista, CA 92083. The listed phone number is (760) 463-9155.

What is Nicklaus Nishijima's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nicklaus Nishijima enrolled in Medicare?

Yes. Nicklaus Nishijima is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicklaus Nishijima was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.