Marvin J. Derrick, M.D. Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G47855 Issued in CA

Legal business name

MARVIN J. DERRICK, M.D. INC.

Practice address

500 Old River Rd
Suite 250
Bakersfield, CA 93311-9504

Phone

(661) 664-9990

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Marvin J Derrick, MD

Title

Owner

Phone

(661) 664-9990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1801040894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22140",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902140",
            "telephone_number": "661-664-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD",
            "address_2": "SUITE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119504",
            "telephone_number": "661-664-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN J. DERRICK, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "DERRICK",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-664-9990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G47855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yarismel Martinez
• Yesenia Martinez, NONE
• Yvonne Stephanie Martinez
• Maruthi Neuro
• Marvin J. Derrick
• Marvizi Dental Group
• Mary Janet C. Roldan, DDS, Inc.
• Marietta Marzan-Tan, MD
• Vicki Lynne Marzett, LVN
• Marl Jay R Mascote, NP

• Vascular Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.