MARVIN J. DERRICK, M.D. INC. (NPI# 1801040894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801040894 |
| Entity Type | Organization |
| Organization Name | MARVIN J. DERRICK, M.D. INC. |
| Practice Address |
500 Old River Rd Suite 250 Bakersfield CA 93311-9504 |
| Mailing Address |
Po Box 22140 Bakersfield CA 93390-2140 |
| Practice Telephone | 6616649990 |
| Mailing Telephone | 6616649990 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MARVIN J DERRICK (OWNER) |
| Authorized Official Telephone | 6616649990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G47855 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
500 OLD RIVER RD SUITE 250 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-9504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286392 | Kamen Ivanov Nedeltchev | Dentist | 500 Old River Rd, Ste 225, Bakersfield, CA 93311-9508 | 2005-06-27 |
| 1003362435 | Jeffrey Elms | Orthotist | 500 Old River Rd, Suite 100, Bakersfield, CA 93311-9504 | 2016-08-26 |
| 1962838540 | Pamela Jean Whiteley | Physician Assistant | 500 Old River Rd, Suite 145, Bakersfield, CA 93311-9504 | 2013-09-16 |
| 1891061511 | Melanie Ann Scarbrough | Nurse Practitioner | 500 Old River Rd, Suite 260, Bakersfield, CA 93311-9504 | 2012-03-27 |
| 1518259480 | Lincy A Maliyekkal | Nurse Practitioner | 500 Old River Rd, Suite 155, Bakersfield, CA 93311-9504 | 2011-05-10 |
| 1598906521 | Pediatric Heart Center, Inc. | Pediatrics | 500 Old River Rd, Suite 105, Bakersfield, CA 93311-9504 | 2009-03-22 |
| 1396996435 | Nedeltchev Dental Corporation | Clinic/Center | 500 Old River Rd, #225, Bakersfield, CA 93311 | 2008-10-07 |
| 1972665222 | Alan Afshin Esla | Dentist | 500 Old River Rd, Suite# 275, Bakersfield, CA 93311-9504 | 2006-12-14 |
| 1316023385 | Kevin Gregrory Nelson | Nurse Practitioner | 500 Old River Rd, Suite # 104, Bakersfield, CA 93311-9504 | 2006-10-31 |
| 1063523942 | Alicja Ogorkiewicz | Anesthesiology | 500 Old River Rd, Suite 170, Bakersfield, CA 93311-9504 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184879249 | California Cardiac Surgical Associates, Inc | Surgery | 3838 San Dimas St, Ste A100, Ste A100, Bakersfield, CA 93301-2286 | 2008-11-17 |
| 1265438337 | Javier Miro | Surgery | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2005-06-23 |
| 1790230761 | Oak Hills Medical Corporation | Surgery | 1500 Haggin Oaks Blvd, 202, Bakersfield, CA 93311-1332 | 2016-08-19 |
| 1124385158 | Allan Lagdamen Capote | Surgery | 4901 Centennial Plaza Way, Bakersfield, CA 93312 | 2012-04-16 |
| 1124320213 | Javier E. Miro, M.d., Inc | Surgery | 3838 San Dimas St Ste B231, Bakersfield, CA 93301-1494 | 2010-11-23 |
| 1316123714 | C. Vincent Phillips, M.d., Inc. | Surgery | 3838 San Dimas St, Suite B-231, Bakersfield, CA 93301-2284 | 2008-01-15 |
| 1679775951 | Marvin J. Derrick | Surgery | 3838 San Dimas St, Ste A100, Bakersfield, CA 93301-2284 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
Please comment or provide details below to improve the information on MARVIN J. DERRICK, M.D. INC..
| 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.