Active NPI
Derek Peter Carmona, D.C.
- Chiropractor
- West Covina, CA
National Provider Identifier
1992837520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26691
- Practice address
- 933 S Sunset Ave Ste 103
West Covina, CA 91790-3410 - Phone
- (626) 851-4003
- Fax
- (626) 851-0223
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26691 | CA | Primary |
Addresses
Primary practice location
933 S Sunset Ave Ste 103
West Covina, CA 91790-3410
Mailing address
933 S Sunset Ave Ste 103
West Covina, CA 91790-3410
Phone (626) 851-4003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0266910 | Other | CA | BLUE SHIELD |
| DC1019793 | Other | CA | ASHP |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992837520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 S SUNSET AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903410",
"telephone_number": "626-851-4003",
"fax_number": "626-851-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 S SUNSET AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903410",
"telephone_number": "626-851-4003",
"fax_number": "626-851-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "DEREK",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0266910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHP",
"identifier": "DC1019793",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.