DERRICK W WRIGHT (NPI# 1174708275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174708275 |
| Entity Type | Individual |
| Full Name | DERRICK W WRIGHT |
| Credential | PA-C, BCHS, BS |
| Practice Address |
41840 Enterprise Cir N Temecula CA 92590-5654 |
| Mailing Address |
425 N Date St Escondido CA 92025-3413 |
| Practice Telephone | 9512256400 |
| Mailing Telephone | 7607376960 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18775 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05567 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41840 ENTERPRISE CIR N |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272246 | Erik K Koda | Family Medicine | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2005-08-12 |
| 1336749225 | Saul Muro | Behavior Technician | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2020-10-29 |
| 1619506250 | Jennifer Rebecca Costello | Social Worker | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2020-04-06 |
| 1669933115 | Saori Guadarrama Kobayashi | Social Worker | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2019-03-27 |
| 1134513039 | Vanessa Cobian | Family Medicine | 41840 Enterprise Cir N, Temecula, CA 92590 | 2015-03-27 |
| 1811308109 | Jasleen Singh | Family Medicine | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2014-05-08 |
| 1528366432 | Sun-ling Chen | Family Medicine | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2011-03-02 |
| 1912208836 | Paul Douglas Brydon | Family Medicine | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2010-11-09 |
| 1437335148 | Neighborhood Healthcare | Clinic/Center | 41840 Enterprise Cir N, Temecula, CA 92590 | 2008-01-11 |
| 1457496390 | Larissa Vishtell | Nurse Practitioner | 41840 Enterprise Cir N, Temecula, CA 92590-5654 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437581774 | Ricardo Rivas | Physician Assistant | 27699 Jefferson Ave Ste 312, Temecula, CA 92590-2697 | 2013-08-08 |
| 1942552914 | Sakshi Monga Patel | Physician Assistant | 31720 S Temecula Pkwy, Ste 200, Temecula, CA 92592 | 2012-10-15 |
| 1962697821 | Daniel D. Velasquez | Physician Assistant | 28991 Old Town Front St Ste 104, Temecula, CA 92590-2858 | 2007-09-12 |
| 1699968826 | Roger Torrance Bellamy | Physician Assistant | 31720 S. Temeula Parkway. Ste. 203, Temecula, CA 92592 | 2007-08-21 |
| 1750425690 | Carrie King | Physician Assistant | 27699 Jefferson Ave Ste 201, Temecula, CA 92590-2697 | 2007-02-16 |
| 1841362837 | Mary Gausepohl | Physician Assistant | 27555 Ynez Rd Ste 350, Temecula, CA 92591-4688 | 2006-11-14 |
| 1831198704 | Thomas Brett Davis | Physician Assistant | 31720 Temecula Pkwy Ste 200, Temecula, CA 92592-5895 | 2005-07-21 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1801256920 | Lindsey Alkema | Physician Assistant | 41789 Nicole Ln, B3, Temecula, CA 92591-3871 | 2016-03-02 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| Find all providers in TEMECULA | ||||
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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.