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DR. DERRICK LAMONT BUTLER M.D.
NPI 1366487225
Family Medicine in Los Angeles, CA

Active since June 17, 2006PECOS Enrolled
3834 S WESTERN AVE, LOS ANGELES, CA 90062(323) 730-1920(323) 730-1504 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Derrick Lamont Butler M.d. NPPES

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

DR. DERRICK LAMONT BUTLER M.D. (NPI 1366487225) is an individual family medicine provider in Los Angeles, California, licensed in California (A67268) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366487225
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DERRICK LAMONT BUTLERCredential: M.D.
Location Address3834 S WESTERN AVELos Angeles, CA 90062-1104
Mailing Address3834 S Western AveLos Angeles, CA 90062-1104 · (323) 730-1920 · Fax (323) 730-1504
Phone(323) 730-1920
Fax(323) 730-1504
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateJanuary 28, 2011
✔ NPI 1366487225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A67268
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3834 S WESTERN AVE, Los Angeles, CA 90062
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Other Identifiers 5

Medicare UPINH01421CA
Medicare PINWA67268CA
Medicare PINWA67268ECA
Medicare PINWA67268GCA
Medicaid00A672680CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derrick Lamont Butler M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Derrick Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

T H E Clinic Inc
Same address
Clinic/Center
3834 S. WESTERN AVENUE
Los Angeles, CA 90062
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1023287679 (323) 730-1920

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims21 services$185.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

MRS. TRAN VO P.A.
Physician Assistant
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-1920
MS. WENDY CAROLINE MONTEON PA-C
Physician Assistant
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-1920
DR. DAVID MARTINS GENERAL INTERNIST
Internal Medicine
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-1920
DR. WENDY L GREEN MD
Pediatrics
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-1920
MRS. SHARON A. LEFFALL N.P.
Nurse Practitioner
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-1920
NANCY ELIZABETH GONZALEZ NP
Nurse Practitioner (Primary Care)
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 373-2045
DR. MANJARI SHRIKANT ANAGOL M.D
Pediatrics
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-3576
MS. ELAINE G. WILLIAMS PH.D. R.D.
Dietitian, Registered
3834 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 730-1920

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 Derrick Butler's NPI number?

The NPI number for Derrick Butler is 1366487225. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Derrick Butler located?

Derrick Butler practices at 3834 S Western Ave, Los Angeles, CA 90062. The listed phone number is (323) 730-1920.

What is Derrick Butler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derrick Butler enrolled in Medicare?

Yes. Derrick Butler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derrick Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Butler reassigns Medicare benefits to T H E Clinic Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derrick Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derrick Butler was last updated on January 28, 2011. 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.