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DEREK TAI
NPI 1639874969
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 04, 2023PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Tai NPPES

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

DEREK TAI (NPI 1639874969) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639874969
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK TAI
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (909) 558-4074
Phone(909) 558-4074
Sole ProprietorNo
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1639874969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
11234 ANDERSON ST, Loma Linda, CA 92354
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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 Tai 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.

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.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Tai's NPI number?

The NPI number for Derek Tai is 1639874969. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Derek Tai located?

Derek Tai practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is Derek Tai's specialty?

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

Is Derek Tai enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Tai was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.