DR. DEREK SPENCER MARSHALL SR. (NPI# 1386629194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386629194 |
| Entity Type | Individual |
| Full Name | DR. DEREK SPENCER MARSHALL SR. |
| Credential | D.D.S. |
| Practice Address |
6200 Wilshire Blvd #1709 Los Angeles CA 90048-5801 |
| Practice Telephone | 3236346334 |
| Practice Fax Number | 3236346338 |
| Mailing Telephone | 3236346334 |
| Mailing Fax Number | 3236346338 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34163 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164790713 | Derek Marshall | Student in an Organized Health Care Education/Training Program | 1316 Virginia St E, Charleston, WV 25301-3054 | 2011-12-11 |
| 1629619374 | Derek Marshall | Student in an Organized Health Care Education/Training Program | 1801 Vicente St, San Francisco, CA 94116-2923 | 2019-10-03 |
| 1104320639 | Derek Logan Marshall | Student in an Organized Health Care Education/Training Program | 4200 Douglas Street, Omaha, NE 68131 | 2018-03-20 |
| 1255475943 | Derek E Marshall | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202 | 2007-02-16 |
| Street Address |
6200 WILSHIRE BLVD #1709 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673733 | Daniel Hideo Tamura | Dentist | 6200 Wilshire Blvd, Suite 1209, Los Angeles, CA 90048-5801 | 2005-07-20 |
| 1558986034 | Ruby Magbuhat Comia | Dental Assistant | 6200 Wilshire Blvd, Los Angeles, CA 90048-5801 | 2020-06-10 |
| 1427589555 | Dermking Institute | Physician Assistant | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2017-03-21 |
| 1407397714 | Nevarez Chiropractic Corp | Chiropractor | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5810 | 2017-03-20 |
| 1689054546 | Jill Allen | Physical Therapist | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-06-05 |
| 1487047940 | Lauren Anne Layson | Physician Assistant | 6200 Wilshire Blvd, 910, Los Angeles, CA 90013 | 2015-03-09 |
| 1770974479 | Max Management, LLC | Durable Medical Equipment & Medical Supplies | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-02-17 |
| 1588054720 | Max Health Medical Group | Specialist | 6200 Wilshire Blvd, Suite 805, Los Angeles, CA 90048-5801 | 2015-01-26 |
| 1043624489 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2014-06-13 |
| 1083026843 | Meredith E Harewood | Psychiatry & Neurology | 6200 Wilshire Blvd, Ste 1010, Los Angeles, CA 90048 | 2014-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on DR. DEREK SPENCER MARSHALL SR..
| 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.