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DR. RICHARD DERBY JR. MD
NPI 1013008481
Anesthesiology - Pain Medicine in Daly City, CA

Active since September 28, 2006PECOS Enrolled
901 CAMPUS DRIVE, SUITE 312, DALY CITY, CA 94015(650) 755-0733(650) 755-3018 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Derby Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD DERBY JR. MD (NPI 1013008481) is an individual pain medicine provider in Daly City, California, licensed in California (G24348) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013008481
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. RICHARD DERBY JR.Credential: MD
Location Address901 CAMPUS DRIVE, SUITE 312Daly City, CA 94015
Mailing Address901 Campus Drive, Suite 312Daly City, CA 94015 · (650) 755-0733 · Fax (650) 755-3018
Phone(650) 755-0733
Fax(650) 755-3018
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateNovember 18, 2010
✔ NPI 1013008481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · G24348
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
901 CAMPUS DRIVE, Daly City, CA 94015
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Other Identifiers 3

OtherG24348Calif Board
Medicare ID-Type Unspecified00G243480
Medicare UPINA42235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Derby Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY FREDERICK ISAACS MD
Psychiatry & Neurology (Psychiatry)
901 CAMPUS DRIVE, #301
DALY CITY, CA 94015
San Mateo County (650) 992-2223
RICHARD P MOSKOWITZ MD
Internal Medicine
901 CAMPUS DRIVE, SUITE 112
DALY CITY, CA 94015
San Mateo County (650) 991-1842
BJORN CARL JOHAN EEK M.D.
Specialist
901 CAMPUS DRIVE, SUITE 314
DALY CITY, CA 94015
San Mateo County (650) 755-0733
NUZHAT S. ZAIDI MD
Anesthesiology
901 CAMPUS DRIVE, SUITE 102
DALY CITY, CA 94015
San Mateo County (415) 642-0707
KAMAL EZOURY SHAMASH MD
Family Medicine
901 CAMPUS DRIVE, 112
DALY CITY, CA 94015
San Mateo County (650) 991-1842
YI CHING CHIANG DO
Anesthesiology
901 CAMPUS DRIVE, SUITE 102
DALY CITY, CA 94015
San Mateo County (650) 991-2000
DR. CHARLES CONLEY DMD
Dentist
901 CAMPUS DRIVE, STE 304
DALY CITY, CA 94015
San Mateo County (650) 756-1900
SPINAL DIAGNOSTICS & TREATMENT CENTER
Clinic/Center (Ambulatory Surgical)
901 CAMPUS DRIVE, SUITE 310
DALY CITY, CA 94015
San Mateo County (650) 755-0733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Derby's NPI number?

The NPI number for Richard Derby is 1013008481. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Richard Derby located?

Richard Derby practices at 901 Campus Drive Suite 312, Daly City, CA 94015. The listed phone number is (650) 755-0733.

What is Richard Derby's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Richard Derby enrolled in Medicare?

Yes. Richard Derby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Derby was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.