What is Derick Medina's NPI number?

Derick Medina's National Provider Identifier (NPI) is 1669862413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derick Medina's specialty?

Derick Medina is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Derick Medina located?

Derick Medina's practice location on file with NPPES is 34101 Farenholt Ave, San Diego, CA 92134-7000.

What is Derick Medina's phone number?

The practice phone number listed in the NPPES registry for Derick Medina is (619) 532-7714.

Is Derick Medina's NPI active?

Yes — Derick Medina's NPI (1669862413) is active in the NPPES registry as of the last update on 2015-02-02.

IndividualActive

Derick Medina, IDC

NPI 1669862413 · Independent Duty Corpsman · San Diego, CA

Derick Medina, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1669862413).

Provider details

NPI number: 1669862413
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Established profile(68/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

34101 Farenholt Ave

San Diego, CA 92134-7000

Phone: (619) 532-7714

Approximate (ZIP-level) locationGet directions

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Mailing address