Brian Thomas Dickerson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95479062 Issued in CA

Practice address

849 Coast Blvd
La Jolla, CA 92037-4223

Phone

(858) 456-4190

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1124924717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 COAST BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 COAST BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374223",
            "telephone_number": "858-456-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95479062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana NG MD Inc
• Alicia Jeanne Diaz-Conti
• David Diaz
• Nahia Dib El Jalbout, MD
• James Donald Dibdin, M.D.
• Thomas Patrick Dickerson
• Gregory L. Dickson, PH.D.
• Benjamin Digrazia, FNP
• Christopher Dijanic, MD
• L Dinenberg, M.D.

• Registered Nurse in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.