Individual provider Active NPI

Derrick Barrera Fian, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1417734658
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95026269 Issued in CA
Practice address
1001 Partridge Dr Ste 110
Ventura, CA 93003-0714
Phone
(925) 282-1778
NPI assigned
Sep 12, 2023
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95026269 CA Primary
Registered Nurse 163W00000X 95123337 CA

Addresses

Primary practice location

1001 Partridge Dr Ste 110
Ventura, CA 93003-0714

Mailing address

1001 Partridge Dr Ste 110
Ventura, CA 93003-0714
Phone (925) 282-1778

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108006246 CA Practitioner - Nurse Practitioner 8820449432 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

1001 Partridge Dr
Suite 110
Ventura, CA 93003-0714
Phone (925) 282-1778

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95123337CAMDRegistered Nurse
95026269CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Nov 10, 2025 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Dec 1, 2023 Accepting new patients
Geri Connection CurrentSince Dec 1, 2023 Accepting new patients
Bay View Health Solutions CurrentSince Mar 3, 2025 Accepting new patients
Senior Medical Associates, Inc. CurrentSince Jul 21, 2024 Accepting new patients
Myndfull Care Management California PC CurrentSince Dec 1, 2023 Accepting new patients
Del Sur Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

1999 S Bascom Ave
Ste 700
Campbell, CA 95008
Phone (760) 978-8596

2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

1001 Partridge Dr
Ste 110
Ventura, CA 93003

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1417734658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PARTRIDGE DR STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030714",
            "telephone_number": "925-282-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PARTRIDGE DR STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030714",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIAN",
        "first_name": "DERRICK",
        "middle_name": "BARRERA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026269",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95123337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.