Joseph A Derije (NPI# 1003107616, PAC ID# 6406137751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003107616 |
| PAC ID by PECOS | 6406137751 |
| Professional Enrollment ID | I20161229000826 |
| Full Name | Joseph A Derije |
| Organization Legal Name | EXODUS RECOVERY INC |
| Address |
9808 Venice Blvd Suite 700 Culver City CA 90232-6824 |
| Phone Number | 3109453350 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668467341 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9808 Venice Blvd, Suite 700, Culver City, CA 90232-6824 | 3109453350 | EXODUS RECOVERY INC |
| Organization Legal Name | EXODUS RECOVERY INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawanda D Smith | Nurse Practitioner | Exodus Recovery Inc | 12021 S Wilmington Ave, Fl 2 Ic1 Ic7, Los Angeles, CA 90059-3019 |
| Beth A Domingue | Clinical Social Worker | Exodus Recovery Inc | 2950 El Cajon Blvd, Suite 4, San Diego, CA 92104-1205 |
| John Trieu | Nurse Practitioner | Exodus Recovery Inc | 3828 Hughes Ave, Culver City, CA 90232-2716 |
| Jazmin Jackson | Clinical Social Worker | Exodus Recovery Inc | 4308 30th St, San Diego, CA 92104-1314 |
| Hillary D Mahl | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Eva M Westholm | Clinical Social Worker | Exodus Recovery Inc | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 |
| Jovita C Ezirim-salamialofoje | Nurse Practitioner | Exodus Recovery Inc | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 |
| Deborah R Ellis | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Nancy M Richmond | Nurse Practitioner | Exodus Recovery Inc | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-6824 |
| Angela N Romero | Clinical Social Worker | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Street Address |
9808 VENICE BLVD SUITE 700 |
| City | CULVER CITY |
| State | CA |
| Zip | 90232-6824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nilly Shechter | Internal Medicine | Pagiel Shechter Md Inc | 9808 Venice Blvd, Ph, Culver City, CA 90232-2732 |
| Pagiel Shechter | Nephrology | Pagiel Shechter Md Inc | 9808 Venice Blvd, Ph, Culver City, CA 90232-2732 |
| Richard B Jurmain | Cardiovascular Disease (cardiology) | 9808 Venice Blvd, Suite 503, Culver City, CA 90232-6804 | |
| Josh Kwan | Nurse Practitioner | Raj Prasad Md, Inc. | 9808 Venice Blvd, Suite 707, Culver City, CA 90232-6802 |
| Syed Omar Tirmizi | Pulmonary Disease | 9808 Venice Blvd, Suite 404, Culver City, CA 90232-6829 | |
| Rajendra Prasad | Internal Medicine | Raj Prasad Md, Inc. | 9808 Venice Blvd, Suite 707, Culver City, CA 90232-6802 |
| Solomon Forouzesh | Rheumatology | 9808 Venice Blvd, Suite 604, Culver City, CA 90232-6820 | |
| Lawrence F Peskin | Psychologist, Clinical | Amity Medical Group Inc | 9808 Venice Blvd, Suite 100, Culver City, CA 90232-2732 |
| Albert A Nejat | Podiatry | 9808 Venice Blvd, Suite 600, Culver City, CA 90232-6807 | |
| Linda Narvaez | Family Medicine | 9808 Venice Blvd, Suite 703, Culver City, CA 90232-6807 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Fahringer | Optometry | 3840 Main St, Culver City, CA 90232-2620 | |
| Praveen Gupta | Obstetrics/gynecology | 9435 Venice Blvd, Culver City, CA 90232-2623 | |
| Chad L Clark | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William K Fleming Iii | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Brett A Rosen | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William D Power | Pathology | Memorial Pathology Medical Group Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Bernard T Mcnamara | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Aminatu J Shehu | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Joshua M Mechanic | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Stephen Carney | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Find all physicians in zip 90232 | |||
| City | CULVER CITY |
| Zip Code | 90232 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CULVER CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Joseph A Derije.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.