Maria Deloris Derisi, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH 50487 Issued in CA

Practice address

4077 Fifth Ave
Mer 52
San Diego, CA 92103-2105

Phone

(619) 260-7200

NPI assigned

Sep 29, 2011

Last updated

Sep 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1760766455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 LA VITA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312338",
            "telephone_number": "858-693-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE",
            "address_2": "MER 52",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-260-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERISI",
        "first_name": "MARIA",
        "middle_name": "DELORIS",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH 50487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Derego, FNP-C
• Katherine Rene Derflinger
• Gina Derham
• David A Deriemer, MD
• Ava Deringor
• Derm - Jes Holdings, LLC (DermTech)
• Derma Hair Group (Dermatex)
• Dermatology Professionals Incorporated (Insight Dermatology)
• Dermatology Specialists Inc
• Dermatology Surgical and Medical, Apc

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.