JOSEPH A DERIJE (NPI# 1003107616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003107616 |
| Entity Type | Individual |
| Full Name | JOSEPH A DERIJE |
| Credential | NP |
| Practice Address |
9808 Venice Blvd Suite 700 Culver City CA 90232-2732 |
| Practice Telephone | 3109453350 |
| Practice Fax Number | 3108407023 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 3108407023 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
743245 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95005123 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9808 VENICE BLVD SUITE 700 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475273 | Amnon Licht | Internal Medicine | 9808 Venice Blvd, Ste 706, Culver City, CA 90232-6827 | 2005-05-27 |
| 1467053694 | Jiho Jung | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-11-04 |
| 1972101327 | Anderson Dasilva | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-10-16 |
| 1972119212 | Ruth Jurado | Licensed Psychiatric Technician | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1821604174 | Enid Nyoh | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1164038410 | Stella Sapigao | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1073129326 | Onome Okoro | Registered Nurse | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-09-22 |
| 1124649355 | Yvette Ballesteros-lara | Rehabilitation Practitioner | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2020-04-28 |
| 1306314653 | Stella Yaghoubzadeh | Nurse Practitioner | 9808 Venice Blvd, Culver City, CA 90232 | 2018-11-05 |
| 1629579933 | Shekinah Martin | Social Worker | 9808 Venice Blvd, Culver City, CA 90232-2732 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097507 | Breanna Taylor Sciarrino | Nurse Practitioner | 300 Corporate Pointe, Culver City, CA 90230-7614 | 2020-06-16 |
| 1164946992 | Dominique Griffin | Nurse Practitioner | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2017-08-02 |
| 1023566825 | Deva Stevens | Nurse Practitioner | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-09-21 |
| 1730596768 | Shirley Tucker-ashton | Nurse Practitioner | 9808 Venice Blvd, Suite 505, Culver City, CA 90232-2732 | 2014-07-22 |
| 1194150383 | Victoria Ndubaku | Nurse Practitioner | 9808 Venice Blvd, 700, Culver City, CA 90232-2732 | 2013-09-06 |
| 1275967341 | Imelda Okoli | Nurse Practitioner | 3831 Hughes Ave, Ste 506, Culver City, CA 90232-6860 | 2013-08-26 |
| 1053744870 | Paul Pham Araullo | Nurse Practitioner | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2013-08-15 |
| 1275975294 | Winnie Kao | Nurse Practitioner | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
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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.