DEREK JUE MD (NPI# 1962958108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962958108 |
| Entity Type | Organization |
| Organization Name | DEREK JUE MD |
| Practice Address |
1812 San Miguel Drive Walnut Creek CA 94596 |
| Mailing Address |
1812 San Miguel Dr Walnut Creek CA 94596-8606 |
| Practice Telephone | 9259449193 |
| Practice Fax Number | 9259440682 |
| Mailing Telephone | 9259449193 |
| Mailing Fax Number | 9259440682 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | DEREK JUE (OWNER) |
| Authorized Official Telephone | 9259449193 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A52948 | CA | Ambulatory Health Care Facilities |
| Street Address |
1812 SAN MIGUEL DRIVE |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| 1881079648 | Victor Leonard Bernstein | Psychologist | 1225 Alpine Rd #208, Walnut Creek, CA 94596 | 2015-07-22 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138780 | Faranak Fiedler, Md, Inc. | Clinic/Center | 1947 Warm Springs Ct, Walnut Creek, CA 94595-2212 | 2018-09-21 |
| 1417961772 | Julia S. Hohman, M.d., Inc. | Clinic/Center | 1181 Boulevard Way Ste B, Walnut Creek, CA 94595-1186 | 2006-07-29 |
| 1528451523 | Cornerstone Primary Care Inc | Clinic/Center | 112 La Casa Via, Suite 135, Walnut Creek, CA 94598-3091 | 2015-03-15 |
| 1477789733 | Stuart A Bussey Md Inc | Clinic/Center | 1181 Boulevard Way, Suit B, Walnut Creek, CA 94595-1186 | 2009-06-01 |
| 1548386006 | Walnut Creek Wellness Center | Clinic/Center | 1776 Ygnacio Valley Rd Ste 208, Walnut Creek, CA 94598-3125 | 2007-03-22 |
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| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.