1. Home
  2. Directory
  3. California
  4. Loma Linda
  5. Pediatrics
  6. NPI Profile

DEREK MCCALLA
NPI 1417484437
Pediatrics in Loma Linda, CA

Active since May 22, 2017PECOS Enrolled
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH-TRANSITIONAL YEAR, LOMA LINDA, CA 92354(909) 558-6491 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 21, 2021, May 22, 2017 (3 updates tracked since 2017).

About Derek Mccalla NPPES

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

DEREK MCCALLA (NPI 1417484437) is an individual pediatrics provider in Loma Linda, California, licensed in California (A161942) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417484437
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDEREK MCCALLA
Location Address11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH-TRANSITIONAL YEARLoma Linda, CA 92354-2804
Mailing Address11175 Campus Street Coleman Pavilion Suite A1121Loma Linda, CA 92350-0001 · (909) 558-4174
Phone(909) 558-6491
Sole ProprietorYes
Enumeration DateMay 22, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1417484437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A161942
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11234 ANDERSON STREET, Loma Linda, CA 92354
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Mccalla 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

KAREN RACHEL STUDER M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
11234 ANDERSON STREET, GRADUATE MEDICAL EDUCATION OFFICE CP 21005
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
ABHISHEK JAY DHARAN MD
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
RACHEL ELIZABETH GELFOND DAVIDGE D.O.
Pediatrics
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH, GENERAL PEDIATRICS
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
DR. KRISTINA KYLE M.D.
Emergency Medicine
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH - EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085
DOUGLAS WANG
Internal Medicine
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
FARAH SHAKER ABED ABUAZZAM
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4911
DR. JOSHUA STUART MACLAUGHLAN MD
Radiology (Diagnostic Radiology)
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-7814
YURI JIN
Emergency Medicine
11234 ANDERSON STREET, EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085

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 Derek Mccalla's NPI number?

The NPI number for Derek Mccalla is 1417484437. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Derek Mccalla located?

Derek Mccalla practices at 11234 Anderson Street Loma Linda University Health-Transitional Year, Loma Linda, CA 92354. The listed phone number is (909) 558-6491.

What is Derek Mccalla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Derek Mccalla enrolled in Medicare?

Yes. Derek Mccalla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Mccalla was last updated on July 21, 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.