Ryan Derby, MD Corp.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

RYAN DERBY, MD CORP.

Practice address

1330 Tara Hills Dr Ste E105
Pinole, CA 94564-2531

Phone

(650) 814-6188

NPI assigned

Jun 12, 2022

Organization subpart

No

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

Authorized official

Name

Ryan Edward Derby, MD, MPH

Title

President

Phone

(650) 814-6188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654992000000",
    "number": "1154051308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 TARA HILLS DR STE E105",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642531",
            "telephone_number": "650-814-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 TARA HILLS DR STE E105",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642531",
            "telephone_number": "650-814-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN DERBY, MD CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A",
        "authorized_official_last_name": "DERBY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-814-6188",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Scott Rose, MSW
• Rachel Rosenfeld
• Cindy Ross
• Rachel Ann Ruderman, PSY. D.
• Reina Ruiz
• Paul Harold Ryan Jr., M.D.
• Gary David Sabbadini, D.D.S.
• Moung Meuy Saechao
• Akpevweoghene Rume Sagua, PHARMD
• Mary Jane Salazar-Linayao, DDS

• Interventional Pain Medicine Physician in Pinole, CA
• Providers in Pinole, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.