MIKA KAKEFUDA DERYNCK M.D.
NPI 1477914307
Specialist in San Mateo, CA

Active since March 20, 2016
27 HILLTOP RD, SAN MATEO, CA 94402(415) 999-3933 Get Directions Write a Review

NPPES record last updated: March 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mika Kakefuda Derynck M.d. NPPES

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

MIKA KAKEFUDA DERYNCK M.D. (NPI 1477914307) is an individual specialist in San Mateo, California, licensed in California (GO79889) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1477914307
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMIKA KAKEFUDA DERYNCKCredential: M.D.
Location Address27 HILLTOP RDSan Mateo, CA 94402-1146
Mailing Address27 Hilltop RdSan Mateo, CA 94402-1146 · (415) 999-3933
Sole ProprietorYes
Enumeration DateMarch 20, 2016
NPI 1477914307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · GO79889
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
27 HILLTOP RD, San Mateo, CA 94402

Other Identifiers 1

OtherGO79889CA · California Medical License

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 Mika Derynck's NPI number?

The NPI number for Mika Derynck is 1477914307. It was assigned to this individual provider in the NPPES registry on March 20, 2016.

Where is Mika Derynck located?

Mika Derynck practices at 27 Hilltop Rd, San Mateo, CA 94402. The listed phone number is (415) 999-3933.

What is Mika Derynck's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mika Derynck was last updated on March 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.