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DR. MARY JENNIFER DEREBERY
NPI 1457440992
Otolaryngology - Otolaryngic Allergy in Los Angeles, CA

Active since October 12, 2006
2100 W 3RD ST, SUITE 111, LOS ANGELES, CA 90057(213) 483-9930(213) 483-0905 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Jennifer Derebery NPPES

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

DR. MARY JENNIFER DEREBERY (NPI 1457440992) is an individual otolaryngic allergy provider in Los Angeles, California, licensed in California (C42073) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1457440992
Entity TypeIndividualFemale
Primary Taxonomy207YX0602X
Provider Legal NameDR. MARY JENNIFER DEREBERY
Location Address2100 W 3RD ST, SUITE 111Los Angeles, CA 90057-1944
Mailing Address2100 W 3rd St, Suite 111Los Angeles, CA 90057-1944 · (213) 483-9930 · Fax (213) 483-0905
Phone(213) 483-9930
Fax(213) 483-0905
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 15, 2013
✔ NPI 1457440992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License✔ Licensed in CA · C42073
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
2100 W 3RD ST, Los Angeles, CA 90057
Open in Google Maps ↗

Other Identifiers 3

Medicare PINWC42073BCA
Medicare PINC42073CA
Medicare UPINA89133

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.

HOUSE EAR INSTITUTE CARE CENTER
Audiologist
2100 W 3RD ST
LOS ANGELES, CA 90057
Los Angeles County (213) 353-7005
VICTORIA HERNDS
Registered Nurse (Case Management)
2100 W 3RD ST
LOS ANGELES, CA 90057
Los Angeles County (323) 765-6167
MRS. BROOKE NICHOLSON PHILLIPS AU.D.
Audiologist-Hearing Aid Fitter
2100 W 3RD ST, HOUSE EAR INSTITUTE CARE CENTER
LOS ANGELES, CA 90057
Los Angeles County (213) 353-7005
SHERRY S. YOUNG AU.D.CCC-A
Audiologist-Hearing Aid Fitter
2100 W 3RD ST, STE 111
LOS ANGELES, CA 90057
Los Angeles County (213) 483-9930
DR. MICHAEL ROBERT STEFAN M.D.
Internal Medicine
2100 W 3RD ST, SUITE 260
LOS ANGELES, CA 90057
Los Angeles County (213) 484-2957
DR. JENNIFER HOWARD WILKER M.S. , AU.D.
Audiologist
2100 W 3RD ST, SUITE 111
LOS ANGELES, CA 90057
Los Angeles County (213) 483-9930
DR. WILLIAM H SLATTERY III MD
Otolaryngology
2100 W 3RD ST, SUITE 111
LOS ANGELES, CA 90057
Los Angeles County (213) 483-9930
HOUSE HEALTHCARE INC.
Otolaryngology (Otolaryngic Allergy)
2100 W 3RD ST, SUITE 111
LOS ANGELES, CA 90057
Los Angeles County (213) 483-9930

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 Mary Derebery's NPI number?

The NPI number for Mary Derebery is 1457440992. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mary Derebery located?

Mary Derebery practices at 2100 W 3rd St Suite 111, Los Angeles, CA 90057. The listed phone number is (213) 483-9930.

What is Mary Derebery's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

When was this NPI record last updated?

The NPPES record for Mary Derebery was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.