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DR. NICHOLAS EDWARD GANNON DO
NPI 1326620014
Anesthesiology in San Diego, CA

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
3626 RUFFIN RD, SAN DIEGO, CA 92123(858) 565-9666(858) 565-9441 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jan 29, 2023, Jan 11, 2022 and 3 more (6 updates tracked since 2021).

About Dr. Nicholas Edward Gannon Do NPPES

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

DR. NICHOLAS EDWARD GANNON DO (NPI 1326620014) is an individual anesthesiology provider in San Diego, California, licensed in California (20A20458) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2021).

NPPES Registry Identity

NPI1326620014
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. NICHOLAS EDWARD GANNONCredential: DO
Location Address3626 RUFFIN RDSan Diego, CA 92123-1810
Mailing Address3626 Ruffin RdSan Diego, CA 92123-1810 · (858) 565-9666 · Fax (858) 565-9441
Phone(858) 565-9666
Fax(858) 565-9441
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2021
Enumeration DateApril 22, 2021
Last NPPES UpdateJuly 23, 20256 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1326620014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · 20A20458
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3626 RUFFIN RD, San Diego, CA 92123
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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

Dr. Nicholas Edward Gannon Do 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 ID3274045083
PECOS Enrollment IDI20250625003805
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 20

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

THOMAS J. PIETUCH M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DR. JEFFREY KOJI SAKIHARA M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
MARK SETH CHRISTOFFERSON MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
QUINN S HUME DO
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
STEVEN A. SALTZ M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
TATYANA FELDMAN MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DR. JAMES BRIAN BILLYS MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DARCI J. TOM M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666

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 Gannon's NPI number?

The NPI number for Nicholas Gannon is 1326620014. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Nicholas Gannon located?

Nicholas Gannon practices at 3626 Ruffin Rd, San Diego, CA 92123. The listed phone number is (858) 565-9666.

What is Nicholas Gannon's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicholas Gannon enrolled in Medicare?

Yes. Nicholas Gannon 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 Nicholas Gannon was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.