DR. DERRICK MARLIN MYERS (NPI# 1538102660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538102660 |
| Entity Type | Individual |
| Full Name | DR. DERRICK MARLIN MYERS |
| Credential | M.D. |
| Practice Address |
90 N. Madison Ave Pasadena CA 91101-6630 |
| Mailing Address |
90 N Madison Ave Pasadena CA 91101-1740 |
| Practice Telephone | 6262912525 |
| Practice Fax Number | 6268989244 |
| Mailing Telephone | 6262912525 |
| Mailing Fax Number | 6268989244 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A84438 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A844380 | 05 |
| Street Address |
90 N. MADISON AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704848 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 4750 Fairmont Pkwy, Pasadena, TX 77504-3330 | 2017-11-29 |
| 1578829438 | Kevin W Chu | Emergency Medicine | 100 West California Blvd, Unit 25, Pasadena, CA 91105 | 2012-04-05 |
| 1528367174 | Huma Khan | Emergency Medicine | 2079 Monte Vista St, Pasadena, CA 91107 | 2011-03-22 |
| 1811207384 | Josephine Bufalino | Emergency Medicine | 293 S Grand Ave, Pasadena, CA 91105-1623 | 2010-10-18 |
| 1235364167 | Allison Daum | Emergency Medicine | 5161 E Sam Houston Pkwy S, Pasadena, TX 77505-3915 | 2009-05-21 |
| 1972629707 | Lawrence Jeffrey Rudd | Emergency Medicine | 1414 Ridge Way, Pasadena, CA 91106-4516 | 2007-03-22 |
| 1902902257 | Stanton C. Packard | Emergency Medicine | 4002 Burke Rd, Pasadena, TX 77504-3451 | 2006-09-15 |
| 1386758746 | James Daniel Luna | Emergency Medicine | 100 California Blvd, Pasadena, CA 91105-1510 | 2006-08-19 |
| 1699792127 | Robert Alan Yoho | Emergency Medicine | 797 S Arroyo Pkwy, Pasadena, CA 91105-3234 | 2006-07-17 |
| 1689618464 | Dirk De Brito | Emergency Medicine | 751 N Fair Oaks Ave, Suite 300, Pasadena, CA 91103-3069 | 2006-06-15 |
| Find all providers in PASADENA | ||||
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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.