Active NPI
Derek T Dee, M.D.
- Orthopaedic Surgery Physician
- Huntington Beach, CA
National Provider Identifier
1669568457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A65423
- Practice address
- 7801 Center Ave Ste 202
Huntington Beach, CA 92647-9118 - Phone
- (562) 430-3561
- Fax
- (562) 318-3048
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A65423A | CA | |
| Orthopaedic Surgery Physician | 207X00000X | A65423 | CA | Primary |
Addresses
Primary practice location
7801 Center Ave Ste 202
Huntington Beach, CA 92647-9118
Mailing address
7801 Center Ave Ste 202
Huntington Beach, CA 92647-9118
Phone (562) 430-3561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000A654230 | Medicaid | CA | |
| A65423 | Other | CA | CA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 22, 2017 through May 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65423 | CA | MD | Marriage & Family Therapist |
| A65423A | CA | MD | Specialist |
| A65423 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green, Stuart & Marinow, Harry & Bonfilio, Nicholas & Feiwell, Lawrenc | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- derek.dee.p46@direct.newportmed.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/ADAIAD/Endpoint/ADAIAD
Organizations & group practices 1
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.
-
dba Greater Long Beach Orthopaedic Surgical & Medical Group a Ptrshp
- Orthopaedic Surgery Physician
- Long Beach, CA
- NPI 1467524652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1669568457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 CENTER AVE STE 202",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479118",
"telephone_number": "562-430-3561",
"fax_number": "562-318-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 CENTER AVE STE 202",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926479118",
"telephone_number": "562-430-3561",
"fax_number": "562-318-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEE",
"first_name": "DEREK",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A65423A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A65423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000A654230",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "A65423",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.