DR. RICHARD DERBY JR. (NPI# 1013008481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013008481 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DERBY JR. |
| Credential | MD |
| Practice Address |
901 Campus Drive Suite 312 Daly City CA 94015 |
| Practice Telephone | 6507550733 |
| Practice Fax Number | 6507553018 |
| Mailing Telephone | 6507550733 |
| Mailing Fax Number | 6507553018 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2010-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G24348 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CALIF BOARD | G24348 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871695882 | Richard S Derby | Counselor | 20 Glenlake Parkway, Department of Behavioral Health, Atlanta, GA 30328 | 2006-09-01 |
| 1295720845 | Richard Derby | Family Medicine | 1512 N Green Mount Rd, Suite 300, O Fallon, IL 62269-2083 | 2005-09-20 |
| Street Address |
901 CAMPUS DRIVE SUITE 312 |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071539 | Jennifer Reodica | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2006-02-13 |
| 1992018477 | Eric Samuel Bringhurst | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2010-07-26 |
| 1649406141 | Tomalika Ahsan Paik | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2009-06-10 |
| 1760627509 | Northern California Orthopaedic Medical Grp, Inc | Orthopaedic Surgery | 901 Campus Drive, Suite 111, Daly City, CA 94015-4930 | 2008-12-09 |
| 1497913735 | Chika Pamella Udoh-esomonu | Anesthesiology | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2008-05-22 |
| 1497932065 | Magdalena Mihaela Mindea | Nurse Anesthetist, Certified Registered | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2008-01-26 |
| 1982805107 | Elizabeth Palkovacs | Ophthalmology | 901 Campus Drive, Suite 205, Daly City, CA 94015 | 2007-05-29 |
| 1184744500 | Bjorn Carl Johan Eek | Specialist | 901 Campus Drive, Suite 314, Daly City, CA 94015-4930 | 2007-03-30 |
| 1447302120 | Elizabeth Anne Mulkerrin | Nurse Anesthetist, Certified Registered | 901 Campus Drive, Suite 102, Daly City, CA 94015 | 2007-01-16 |
| 1588728786 | Charles Kim Gilmartin | Nurse Anesthetist, Certified Registered | 901 Campus Drive, Suite 102, Daly City, CA 94015-4930 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619011095 | Jon W Churnin Md Inc | Anesthesiology | 901 Campus Dr Ste 102, Daly City, CA 94015-4930 | 2007-02-18 |
| 1841283892 | Jon W Churnin | Anesthesiology | 901 Campus Dr, Daly City, CA 94015-4930 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.