Christian Derefield, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14172 Issued in CA

Practice address

6520 N Irwindale Ave
100
Irwindale, CA 91702-2801

Phone

(626) 812-0366

Fax

(626) 812-5952

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Concentra Primary Care of California, a Medical Corporation

  • Primary Care Clinic/Center
  • Addison, TX
  • NPI 1912472531
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1124130976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77607",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770120",
            "telephone_number": "909-278-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 N IRWINDALE AVE",
            "address_2": "100",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917022801",
            "telephone_number": "626-812-0366",
            "fax_number": "626-812-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREFIELD",
        "first_name": "CHRISTIAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Arguelles De Guia, DDS
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• Jason Christopher Dela Cruz
• Joanna Marie Delgado, ACSW
• Lacresia Marie Dennis Smith
• Mercedes Desales
• Jeanne Deseran
• Destiny Care Services Inc
• Karina Di Gregorio
• Dial Healthcare Incorporated

• All providers in Irwindale, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.