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NPI 1992001804

IndividualActive

Derek Ailes, M.D.

NPI 1992001804 · Emergency Medical Services (Emergency Medicine) Physician · Walnut Creek, CA

Provider details

NPI number: 1992001804
Entity type: Individual
Primary specialty: Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: AL4978841-928 (NY)

Specialties & taxonomies

Emergency Medical Services (Emergency Medicine) PhysicianPrimary207PE0004XLicense A122736 (CA)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense AL4978841-928 (NY)
Allopathic & Osteopathic Physicians

Practice location

1425 S Main St

Walnut Creek, CA 94596-5318

Phone: (925) 295-4000

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

1425 S Main St

Walnut Creek, CA 94596-5318

Additional practice locations (1)

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5000

Registry dates

Enumerated: 2011-02-10
Last updated: 2022-07-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Derek Ailes, M.D. — NPI 1992001804, Walnut Creek, CA | NPI Central