Derek Wright, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

59158 Issued in CA

Practice address

5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338

Phone

(858) 571-3630

Fax

(858) 295-3948

NPI assigned

Dec 11, 2020

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zachary C Cohen MD ApcGroup PAC ID 6608260179, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Active Health Services Home health agency, San Diego, CA, CCN 059672

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: californiapain.derekwright@161491.advancedmd-direct.com

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.

• Zachary C Cohen MD Apc

  dba California Pain Consultants

  • Pain Medicine Physician
  • San Diego, CA
  • NPI 1689334468
  Medicare reassignment Care Compare group
• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1497747356
  Medicare reassignment
• West Coast Health and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Edgewater, NJ
  • NPI 1043743891

  CA

  Medicare reassignment
• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Chula Vista, CA
  • NPI 1780005819

  Physical Medicine & Rehabilitation

  NPD
• Zachary C Cohen MD Apc

  dba California Pain Consultants

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1790589570
  NPD
• Algos Inc., a Medical Corporation

  dba Synovation Medical Group

  • Pain Medicine Physician
  • Simi Valley, CA
  • NPI 1063890275

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medi-Art Home Health Care, Inc.

  dba Active Health Services

  • Home Health Agency
  • San Diego, CA
  • NPI 1598174104
  Care Compare affiliation

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1629674858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Midway Dr Ste 2001",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921104924",
            "country_code": "US",
            "telephone_number": "619-325-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Fourth Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919103898",
            "country_code": "US",
            "telephone_number": "619-761-5308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DEREK",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Wright, ACSW
• Cheryl D Wright, M.D.
• Cheyenne Wright
• Christine NMN Wright, R.N., P.H.N.
• Daniel Hope Nicole Wright
• Derek Wright
• Elisha Wright
• Eric Wright
• Goldie Wright, LMFT
• Greg Webster Wright, D.C.

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.