Derek Jue MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A52948 Issued in CA

Legal business name

DEREK JUE MD

Practice address

1812 San Miguel Drive
Walnut Creek, CA 94596

Phone

(925) 944-9193

Fax

(925) 944-0682

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Jue, MDNPI 1679592976

Title

Owner

Phone

(925) 944-9193

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Jue, M.D.

  • Family Medicine Physician
  • Walnut Creek, CA
  • NPI 1679592976
  NPD (past) Authorized official
• Ching Hai Chang, MD

  • Family Medicine Physician
  • Walnut Creek, CA
  • NPI 1174545909
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1962958108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 SAN MIGUEL DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968606",
            "telephone_number": "925-944-9193",
            "fax_number": "925-944-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SAN MIGUEL DRIVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-944-9193",
            "fax_number": "925-944-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK JUE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "JUE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-944-9193",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A52948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Y. Fong, M.D., Professional Corporation
• Camille Denton, M.A.
• Stephen John Dentone, O.D.
• Joann Adele Depetro, M.A., MFT
• Agnieszka Depinska, MS, RD
• Stefanie Loreine Derrick
• James P Derum, PA-C
• Toral M. Desai, P.T.
• Renee Doreane Desoucy, NP
• Ryann Lane Desouza

• Primary Care Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.