Richard Derby MD a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

RICHARD DERBY MD A PROFESSIONAL CORPORATION

Practice address

901 Campus Drive
#312
Daly City, CA 94015

Phone

(650) 755-0733

Fax

(650) 755-3018

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Fionnuala MC Elligott

Title

Administrator

Phone

(650) 755-5096

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comprehensive Spine Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1508811753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "#312",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-0733",
            "fax_number": "650-755-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "#312",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-0733",
            "fax_number": "650-755-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD DERBY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "MC ELLIGOTT",
        "authorized_official_first_name": "FIONNUALA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-755-5096"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF BOARD",
            "identifier": "G24348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Marie Reynolds
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• Brooke Rice
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• Richard Fernandez Medical Corporation
• Raven Richards
• Whitney Richards, MA, LMFT
• Riffle Optometric Corporation
• Elizabeth Riffle, OD

• Anesthesiology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.