MR. DERRICK JOHN MULLIN


Address: 7501 Hospital Dr, Suite 205, Sacramento, CA 95823-5405
Phone: 9166892121

MR. DERRICK JOHN MULLIN (NPI# 1366496911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366496911
Entity Type Individual
Full Name MR. DERRICK JOHN MULLIN
Credential FNP
Practice Address 7501 Hospital Dr
Suite 205
Sacramento
CA 95823-5405
Mailing Address 7894 Tigerwoods Dr
Sacramento
CA 95829-6602
Practice Telephone 9166892121
Practice Fax Number 9166892198
Mailing Telephone 9166827702
Enumeration Date 2006-05-19
Last Update Date 2013-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
10084 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7501 HOSPITAL DR
SUITE 205
City SACRAMENTO
State CA
Zip Code 95823-5405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316949779 Colin B Arnold Ophthalmology 7501 Hospital Dr, #105, Sacramento, CA 95823-5405 2005-08-15
1326583030 Sacramento Valley Pediatrics Medical Group Inc Nurse Practitioner 7501 Hospital Dr, Suite 203, Sacramento, CA 95823-5405 2017-01-04
1063803203 Sacramento Pediatrics Medical Group Pediatrics 7501 Hospital Dr, Suite 206, Sacramento, CA 95823-5405 2015-02-10
1316388184 Le Vu Dental Corporation Dentist 7501 Hospital Dr, #202, Sacramento, CA 95823-5405 2013-07-09
1285906883 Jane Reyes Berger Nurse Practitioner 7501 Hospital Dr, Suite 203, Sacramento, CA 95823-5405 2012-01-30
1902133093 Kathryn C Amirikia Md Inc Surgery 7501 Hospital Dr, 305, Sacramento, CA 95823-5405 2009-11-10
1275766867 Afshin Eslami Md Inc Surgery 7501 Hospital Dr, Suite 305, Sacramento, CA 95823-5405 2009-08-28
1912145764 Colin B Arnold Md Inc Optometrist 7501 Hospital Dr, Suite 105, Sacramento, CA 95823-5405 2009-02-02
1851410930 Sandra Mendez Takagi Obstetrics & Gynecology 7501 Hospital Dr, Suite 204, Sacramento, CA 95823-5405 2007-03-28
1407989205 Lourdes Bravo Navea Pediatrics 7501 Hospital Dr, Suite 203, Sacramento, CA 95823-5405 2007-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343422 Renee Yvonne Friesner Registered Nurse 6965 65th Street, Sacramento, CA 95823 2020-10-12
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1114562766 Daniel & Max, LLC Optometrist 4200 Florin Road, Suite C, Florin, CA 95823 2019-11-07
1396393823 Lannon Hope Gustafson Counselor 8573 E Southgate Dr., Sacramento, CA 95823 2019-08-28
1932768280 Sprenger Behavioral Medicine, Inc Psychiatry & Neurology 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 2019-06-11
1306316880 Evin Johnson Case Manager/Care Coordinator 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 2018-11-28
1902373095 Alexandra L Bourcy Family Medicine 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 2018-10-27
1891298923 Nicholas Joseph Henderson Behavior Technician 6500 47th Street Apt#76, Sacramento, CA 95823 2018-03-15
1427567098 Luz Maria Udave Behavior Technician 5435 Mack Rd Apt 87, Sacramento, CA 95823 2017-09-26
1417474743 Elizabeth Smithers Behavior Technician 5545 Sky Parkway #202, Sacramento, CA 95823 2017-08-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023633500 Mary Cobleigh Banfield Nurse Practitioner 1009 1/2 T St, Sacramento, CA 95811-6560 2020-06-10
1952926438 Perla Zuliana Aguayo Vazquez Nurse Practitioner 3520 El Ricon Way, Sacramento, CA 95864-2915 2020-06-10
1043834302 Lacey Elizabeth Watson Nurse Practitioner 3710 J St Ste 201, Sacramento, CA 95816-5519 2020-06-02
1467081513 Meeri Kim Nurse Practitioner 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 2020-04-01
1134763238 Mary Dicou Nurse Practitioner 1747 N Market Blvd, Sacramento, CA 95834-2978 2019-10-31
1265099030 Christopher Adam Phillips Nurse Practitioner 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 2019-05-28
1669942538 Inna Dariychuk Nurse Practitioner 500 Howe Avenue, Suite 100, Sacramento, CA 95825 2018-12-04
1376033746 Jenna Pettus Nurse Practitioner 711 14th St, Apt 11, Sacramento, CA 95814 2018-05-11
1770091621 Rane Nathan Beal Nurse Practitioner 209 29th St Ste B, Sacramento, CA 95816-3271 2018-01-12
1730698846 Olivia Rapozo Nurse Practitioner 4860 Y St # 3400, Sacramento, CA 95817-2307 2017-09-21
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Competitor

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City SACRAMENTO
Zip Code 95823

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Dataset Information

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.

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