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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEREK BOOTH DO
NPI 1699397554
Internal Medicine in San Diego, CA

Active since May 14, 2020PECOS Enrolled
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134(408) 691-9354 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Sep 5, 2024, May 14, 2020 (3 updates tracked since 2020).

About Dr. Derek Booth Do NPPES

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

DR. DEREK BOOTH DO (NPI 1699397554) is an individual internal medicine provider in San Diego, California, licensed in California (25618) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699397554
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREK BOOTHCredential: DO
Location AddressNAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVESan Diego, CA 92134-5000
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone(408) 691-9354
Sole ProprietorNo
Enumeration DateMay 14, 2020
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1699397554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 25618
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NAVAL MEDICAL CENTER SAN DIEGO, San Diego, CA 92134
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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)

Dr. Derek Booth Do 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 92134 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

LUKE MCLAIN
Physician Assistant
NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
San Diego County (808) 753-7192
MR. JOSEPH E LANYON IDC
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CENTER SAN DIEGO, MILITARY HEALTH CENTER
SAN DIEGO, CA 92134
San Diego County (619) 532-5839
AUDREY BUXTON LEE D.D.S
Dentist
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7935
KYLE CARR MD
Military Health Care Provider
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8274
JONATHAN ANDREW DEINARD NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7809
DR. TYLER MARTINI D.D.S.
Student in an Organized Health Care Education/Training Program
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7935
MARILYN ANDERSEN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7935
DR. NICHOLAS CONSTANTINE PETIKAS PH.D., ABPP
Psychologist (Clinical)
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 453-6591

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 Booth's NPI number?

The NPI number for Derek Booth is 1699397554. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Derek Booth located?

Derek Booth practices at Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (408) 691-9354.

What is Derek Booth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Derek Booth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Booth was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.