RYAN DERBY, MD CORP.
NPI 1154051308
Pain Medicine - Interventional Pain Medicine in Pinole, CA

Active since June 12, 2022
1330 TARA HILLS DR STE E105, PINOLE, CA 94564(650) 814-6188 Get Directions Write a Review

NPPES record last updated: June 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Derby, Md Corp. NPPES

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

RYAN DERBY, MD CORP. (NPI 1154051308) is a healthcare organization registered as an interventional pain medicine in Pinole, California and active in the NPI registry since June 2022. The organization lists Ryan Edward Derby, President, as its authorized official.

NPPES Registry Identity

NPI1154051308
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameRYAN DERBY, MD CORP.
Location Address1330 TARA HILLS DR STE E105Pinole, CA 94564-2531
Mailing Address1330 Tara Hills Dr Ste E105Pinole, CA 94564-2531 · (650) 814-6188
Organization SubpartNo
Authorized OfficialRyan Edward DerbyPresident · (650) 814-6188
Enumeration DateJune 12, 2022
NPPES CertifiedJune 12, 2022
NPI 1154051308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1330 TARA HILLS DR STE E105, Pinole, CA 94564

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ryan Derby, MD Corp.'s NPI number?

The NPI number for Ryan Derby, MD Corp. is 1154051308. It was assigned to this organization in the NPPES registry on June 12, 2022.

Where is Ryan Derby, MD Corp. located?

Ryan Derby, MD Corp. is located at 1330 Tara Hills Dr Ste E105, Pinole, CA 94564. The listed phone number is (650) 814-6188.

What is Ryan Derby, MD Corp.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Ryan Derby, MD Corp. was last updated on June 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.