DR. DERICK L LY (NPI# 1962744417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962744417 |
| Entity Type | Individual |
| Full Name | DR. DERICK L LY |
| Credential | D.O., M.S. |
| Practice Address |
400 N Pepper Ave Behavioral Health Colton CA 92324-1801 |
| Practice Telephone | 9095801000 |
| Mailing Telephone | 9095801000 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2014-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
13326 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
400 N PEPPER AVE BEHAVIORAL HEALTH |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781169 | Arrowhead Regional Medical Center | General Acute Care Hospital | 400 N Pepper Ave, Colton, CA 92324-1801 | 2005-06-21 |
| 1841891710 | Hlahla Myet Thwe | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-11-05 |
| 1184224164 | Tooyin A Owolabi | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1154921138 | Danny Teng | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1043818370 | Jeanne Emily Curtis | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-09 |
| 1891302071 | Mary Suzanne Delahanty | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-30 |
| 1851905301 | Magna Dyllis Ajube | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-02 |
| 1215540133 | Tiffany Marie Bunting | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-29 |
| 1033729157 | Radji Galang | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-04 |
| 1235747122 | Emily Nguyen Shimamoto | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538204359 | Thomas Wei Guo Bai | Psychiatry & Neurology | 400 N Pepper Ave # Bh, Colton, CA 92324-1801 | 2007-02-20 |
| 1306408000 | Cep America - Psychiatry PC | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-07-02 |
| 1669911095 | Steven Co | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-02-17 |
| 1154778934 | Jacquelyn Dang | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2016-05-20 |
| 1417303207 | Osmond Waheed | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2016-05-11 |
| 1124409610 | Ambarin Salma Faizi | Psychiatry & Neurology | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2015-06-10 |
| 1245610948 | David Ngo | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2015-06-08 |
| 1194166298 | Sadiq Mirza | Psychiatry & Neurology | 1330 E Cooley Dr, Colton, CA 92324 | 2013-07-17 |
| 1285074559 | Lindy Lay | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-07-01 |
| 1871721647 | Denise Renee Persichino | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2009-06-30 |
| Find all providers in COLTON | ||||
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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.