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NICHOLAS N. DESANTIS DPM
NPI 1164736476
Podiatrist - Foot & Ankle Surgery in San Diego, CA

Active since July 28, 2010
2306 6TH AVE, SAN DIEGO, CA 92101(619) 239-3286(619) 239-0172 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicholas N. Desantis Dpm NPPES

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

NICHOLAS N. DESANTIS DPM (NPI 1164736476) is a healthcare organization registered as a foot & ankle surgery in San Diego, California and active in the NPI registry since July 2010. The organization lists Nicholas Nelson Desantis, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1164736476
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePARK ROW PODIATRY INC.
Location Address2306 6TH AVESan Diego, CA 92101-1643
Mailing Address2306 6th AveSan Diego, CA 92101-1643 · (619) 239-3286 · Fax (619) 239-0172
Phone(619) 239-3286
Fax(619) 239-0172
Organization SubpartNo
Authorized OfficialNicholas Nelson DesantisCeo/owner · (619) 239-3286
Enumeration DateJuly 28, 2010
Last NPPES UpdateNovember 18, 2010
✔ NPI 1164736476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E2474
2306 6TH AVE, San Diego, CA 92101
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Other Names 1

Doing Business AsNicholas N. Desantis Dpm

Other Identifiers 2

Medicare UPINT19202CA
Medicare NSC6454020001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas N. Desantis Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholas N. Desantis DPM, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Desantis, D.P.M.
Podiatry
NPI 1053317545
2306 6TH AVE
San Diego, CA 92101
(619) 239-3286
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Park Row Podiatry Inc.'s NPI number?

The NPI number for Park Row Podiatry Inc. is 1164736476. It was assigned to this organization in the NPPES registry on July 28, 2010. The provider is doing business as Nicholas N. Desantis Dpm.

Where is Park Row Podiatry Inc. located?

Park Row Podiatry Inc. is located at 2306 6th Ave, San Diego, CA 92101. The listed phone number is (619) 239-3286.

What is Park Row Podiatry Inc.'s specialty?

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

Is Park Row Podiatry Inc. enrolled in Medicare?

Yes. Park Row Podiatry Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Row Podiatry Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Park Row Podiatry Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Park Row Podiatry Inc. was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.