NPIMap

Individual provider Active NPI

Derrick R Darnsteadt, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1497725758
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A92752 Issued in CA
Practice address
11301 Wilshire Blvd
Emergency Department
Los Angeles, CA 90073-1003
Phone
(310) 268-3711
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A92752 CA Primary
Emergency Medicine Physician 207P00000X MD.30306 AL
General Practice Physician 208D00000X A92752 CA

Addresses

Primary practice location

11301 Wilshire Blvd
Emergency Department
Los Angeles, CA 90073-1003

Mailing address

1825 Westholme Ave Apt 5
Emergency Department
Los Angeles, CA 90025-4954
Phone (310) 801-8546

Other identifiers 5

IdentifierTypeStateIssuer
1497725758OtherALTRICARE SOUTH
Z10777OtherALVIVA HEALTH
122003MedicaidAL
128507MedicaidAL
511-09380OtherALBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514001773 CA Practitioner - Emergency Medicine 6002009750 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeline Emergency Physicians Medical Group, Inc.Group PAC ID 0345521613, 39 clinicians

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-5396

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.30306ALMDEmergency Medicine Physician
A92752CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Ridgeline Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Mar 11, 2014 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Allied Emergency Physicians, Inc. CurrentSince May 10, 2019 Accepting new patients
Island Medical Alabama LLC Emergency Medicine Past Accepting new patients
University of Alabama at Birmingham Emergency Medicine Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1497725758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 WESTHOLME AVE APT 5",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254954",
            "telephone_number": "310-801-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-268-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNSTEADT",
        "first_name": "DERRICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A92752",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.30306",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A92752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1497725758",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "Z10777",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122003",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128507",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-09380",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.