Individual provider Active NPI

Derek Ho

  • Dermatology Physician
  • Arcadia, CA
National Provider Identifier
1265973689
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A171259 Issued in CA
Practice address
115 S 1St Ave
Arcadia, CA 91006-3606
Phone
(626) 513-2619
Fax
(626) 313-3049
NPI assigned
Mar 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A171259 CA Primary
Procedural Dermatology Physician 207NS0135X A171259 CA

Addresses

Primary practice location

115 S 1St Ave
Arcadia, CA 91006-3606

Mailing address

115 S 1St Ave
Arcadia, CA 91006-3606
Phone (626) 513-2619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211028002449 CA Practitioner - Dermatology 9133452501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derek Ho MD PCGroup PAC ID 7315392545, 3 clinicians

Practice addresses (Care Compare)

115 S 1St Ave
Arcadia, CA 91006-3606
Phone (626) 513-2619

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions885
Removal or shaving of skin growth1-10
Skin biopsy283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171259CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm Ke, M.D., a Professional Corporation Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Derek Ho MD PC Dermatology CurrentSince Nov 1, 2023 Accepting new patients
Dr. a.R. Bhupathy, Inc Dermatology Current Accepting new patients
Huntington Hospital Association PastSince Jan 29, 2023 Accepting new patients

Locations

115 S 1st Ave
Arcadia, CA 91006
Phone (626) 513-2619

23456 Hawthorne Blvd
Ste 100
Torrance, CA 90505
Phone (310) 540-5272

16960 Bastanchury Rd
Ste I
Yorba Linda, CA 92886
Phone (714) 524-9700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1265973689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063606",
            "telephone_number": "626-513-2619",
            "fax_number": "626-313-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063606",
            "telephone_number": "626-513-2619",
            "fax_number": "626-313-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A171259",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A171259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.