Individual provider Active NPI

Derk D. Purcell, M.D.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1114047917
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A90277 Issued in CA
Practice address
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone
(415) 600-0800
Fax
(415) 447-6335
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A90277 CA Primary
Neuroradiology Physician 2085N0700X A90277 CA

Addresses

Primary practice location

1101 Van Ness Ave
San Francisco, CA 94109-6919

Mailing address

PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3404

Other practice location 1

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Other practice location 2

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 641-6685

Other practice location 3

2333 Buchanan St
San Francisco, CA 94115-1925
Phone (415) 600-3232

Other practice location 4

2351 Clay St Ste 100
San Francisco, CA 94115-1931
Phone (415) 600-3143

Other identifiers 1

IdentifierTypeStateIssuer
1114047917MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090124000025 CA Practitioner - Diagnostic Radiology 1658435342 Reassigns benefits to 4 organizations
I20260218001445 HI Practitioner - Diagnostic Radiology 1658435342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Francisco School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1101 Van Ness Ave
San Francisco, CA 94109-6975
Phone (415) 600-3232

72 -124 Hali'Ipua Place
Unit 12
Kailua-Kona, HI 96745
Phone (415) 884-3415

899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-6960

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90277CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Apr 7, 2014 Accepting new patients
California Pacific Advanced Imaging CurrentSince Aug 3, 2009 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Apr 7, 2014 Accepting new patients
University of California San Francisco Current Accepting new patients
California Advanced Imaging Medical Associates Inc Neuroradiology CurrentSince Dec 15, 2008 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
University of California San Francisco CurrentSince Apr 7, 2014 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 7, 2014 Accepting new patients
Sutter East Bay Medical Foundation Diagnostic Radiology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Advanced Imaging Medical Associates, Inc. Diagnostic Radiology Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations (25 of 26)

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

500 Redwood Blvd
#300
Novato, CA 94947
Phone (415) 884-3418

504 Redwood Blvd
Ste 300
Novato, CA 94947
Phone (415) 884-3418

795 El Camino Real
#1112
Palo Alto, CA 94301

1700 California St
Ste 260
San Francisco, CA 94109
Phone (415) 653-5800

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

899 Valencia St
San Francisco, CA 94110
Phone (415) 600-6960

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

55 2nd St
Fl 1
San Francisco, CA 94105

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1101 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-1900

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

2380 Sutter St
San Francisco, CA 94115
Phone (415) 353-2757

3700 California St
San Francisco, CA 94118
Phone (415) 719-0000

899 Valencia St
Fl 1
San Francisco, CA 94110
Phone (415) 600-6960

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

55 2nd St
Fl Grnd
San Francisco, CA 94105
Phone (415) 600-6990

2351 Clay St
Ste 100
San Francisco, CA 94115
Phone (415) 600-3143

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1114047917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-0800",
            "fax_number": "415-447-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5000",
            "fax_number": "415-209-1502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Cesar Chavez",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104403",
            "country_code": "US",
            "telephone_number": "415-641-6685",
            "fax_number": "415-641-7595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Buchanan St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151925",
            "country_code": "US",
            "telephone_number": "415-600-3232",
            "fax_number": "415-885-8694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Clay St Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151931",
            "country_code": "US",
            "telephone_number": "415-600-3143",
            "fax_number": "415-600-3123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "DERK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A90277",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A90277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114047917",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.