DERIC FITZGERALD
NPI 1629403084
Student in an Organized Health Care Education/Training Program in Cerritos, CA

Active since September 04, 2013
10929 SOUTH ST, SUITE 208B, CERRITOS, CA 90703(562) 924-5526(562) 924-1040 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deric Fitzgerald NPPES

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

DERIC FITZGERALD (NPI 1629403084) is an individual student in an organized health care education/training program in Cerritos, California and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1629403084
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDERIC FITZGERALD
Location Address10929 SOUTH ST, SUITE 208BCerritos, CA 90703-5340
Mailing Address10929 South St, Suite 208bCerritos, CA 90703-5340 · (562) 924-5526 · Fax (562) 924-1040
Fax(562) 924-1040
Sole ProprietorYes
Enumeration DateSeptember 4, 2013
Last NPPES UpdateMarch 20, 2014
NPI 1629403084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10929 SOUTH ST, Cerritos, CA 90703

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.

Social Worker (Clinical)
10929 SOUTH ST, SUITE 208B
CERRITOS, CA 90703
Marriage & Family Therapist
10929 SOUTH ST, SUITE 208B
CERRITOS, CA 90703
Social Worker (Clinical)
10929 SOUTH ST, SUITE 214B
CERRITOS, CA 90703
Marriage & Family Therapist
10929 SOUTH ST, SUITE 208B
CERRITOS, CA 90703
Dentist (General Practice)
10929 SOUTH ST, SUITE 110-B
CERRITOS, CA 90703
Social Worker (Clinical)
10929 SOUTH ST, SUITE 208B
CERRITOS, CA 90703
Audiologist-Hearing Aid Fitter
10929 SOUTH ST, STE 202B
CERRITOS, CA 90703
Social Worker (Clinical)
10929 SOUTH ST, SUITE 214B
CERRITOS, CA 90703

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 Deric Fitzgerald's NPI number?

The NPI number for Deric Fitzgerald is 1629403084. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Deric Fitzgerald located?

Deric Fitzgerald practices at 10929 South St Suite 208B, Cerritos, CA 90703. The listed phone number is (562) 924-5526.

What is Deric Fitzgerald's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deric Fitzgerald was last updated on March 20, 2014. 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.