Active NPI
Anthony J. Deriggi, MD
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1710065495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G35355
- Practice address
- 932 46TH St
Sacramento, CA 95819-3431 - Phone
- (916) 452-8975
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G35355 | CA | Primary |
Addresses
Primary practice location
932 46TH St
Sacramento, CA 95819-3431
Mailing address
932 46TH St
Sacramento, CA 95819-3431
Phone (916) 452-8975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G353550 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35355 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1710065495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 46TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193431",
"telephone_number": "916-452-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 46TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193431",
"telephone_number": "916-452-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERIGGI",
"first_name": "ANTHONY",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G35355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G353550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.