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JOHN DEREK VAN VESSEM IV DO
NPI 1053113910
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 24, 2025
1200 N STATE ST RM A7E, LOS ANGELES, CA 90089(323) 409-5126 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Apr 3, 2025, Mar 24, 2025 (3 updates tracked since 2025).

About John Derek Van Vessem Iv Do NPPES

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

JOHN DEREK VAN VESSEM IV DO (NPI 1053113910) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1053113910
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN DEREK VAN VESSEM IVCredential: DO
Location Address1200 N STATE ST RM A7ELos Angeles, CA 90089-1001
Mailing Address1200 N State St Rm A7eLos Angeles, CA 90089-1001
Phone(323) 409-5126
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1053113910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST RM A7E, Los Angeles, CA 90089
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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 John Derek Van Vessem's NPI number?

The NPI number for John Derek Van Vessem is 1053113910. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is John Derek Van Vessem located?

John Derek Van Vessem practices at 1200 N State St Rm A7e, Los Angeles, CA 90089. The listed phone number is (323) 409-5126.

What is John Derek Van Vessem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Derek Van Vessem was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.