Individual provider Active NPI

Nicholas Edward Bohrer, MD

  • Dermatology Physician
  • National City, CA
National Provider Identifier
1689134348
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4053 Issued in CA
Practice address
655 Euclid Ave Ste 304
National City, CA 91950-2974
Phone
(619) 267-8303
Fax
(619) 267-4835
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X A182042 CA
Dermatology Physician 207N00000X 4053 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 304
National City, CA 91950-2974

Mailing address

5222 Balboa Ave FL 5
San Diego, CA 92117-6904
Phone (619) 267-8303

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbohrer1965828@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230816001298 MN Practitioner - Dermatology 8325376775 Reassigns benefits to 1 organization
I20250523000943 CA Practitioner - Dermatology 8325376775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

655 Euclid Ave
Suite 304
National City, CA 91950-2974
Phone (619) 267-8303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions200
Removal or shaving of skin growth19
Skin biopsy51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4053CAMDProfessional Counselor
A182042CAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 19, 2023 Accepting new patients
William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 19, 2023 Accepting new patients
William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc. Dermatology Current Accepting new patients
Mayo Clinic Current Accepting new patients

Locations

222 W Madison Ave
El Cajon, CA 92020
Phone (619) 579-5115

655 Euclid Ave
Ste 304
National City, CA 91950
Phone (619) 267-8303

15725 Pomerado Rd
Ste 102
Poway, CA 92064
Phone (619) 267-8303

5222 Balboa Ave
San Diego, CA 92117
Phone (858) 278-0111

5222 Balboa Ave
Fl 5
San Diego, CA 92117
Phone (619) 267-8303

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nbohrer1965828@ehrdirect.mayoclinicmsg.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1689134348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE FL 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176904",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 304",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502974",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A182042",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "4053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbohrer1965828@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st Street SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.