Individual provider · Type 1 NPI

Derek Walter Nickerson, MD

MOHS-Micrographic Surgery Physician · San Diego, CA

NPI number 1265895619 Active

Practice location

5550 Carmel Mountain Rd
San Diego, CA 92130-4853

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician Primary 207ND0101XA171167 (CA)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1265895619

Derek Walter Nickerson, MD's National Provider Identifier is 1265895619, issued on Apr 2, 2016. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in San Diego, CA. The record was last updated on May 18, 2025.