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TIERRA TENAY DERUSHA
NPI 1700645165
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 18, 2024
4860 Y ST STE 1600, SACRAMENTO, CA 95817(916) 734-3630 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tierra Tenay Derusha NPPES

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

TIERRA TENAY DERUSHA (NPI 1700645165) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1700645165
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIERRA TENAY DERUSHA
Location Address4860 Y ST STE 1600Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 1600Sacramento, CA 95817-2307 · (916) 734-3630
Phone(916) 734-3630
Sole ProprietorNo
Enumeration DateMarch 18, 2024
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1700645165 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.
4860 Y ST STE 1600, Sacramento, CA 95817
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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.

CAMILLE B MADISON MD
Family Medicine
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
DR. ERIN ALEXANDRA GLASRUD MD
Family Medicine
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
MELISSA DANIELLE EIDMAN
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
CASSIE J IUTZI MD
Family Medicine
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
JOEL BONILLA-LARSEN MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
DINH PHU PHAM MAI MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
ERICA VEGA ESCALERA
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630
NAOYA V TSUDA MD
Student in an Organized Health Care Education/Training Program
4860 Y ST STE 1600
SACRAMENTO, CA 95817
Sacramento County (916) 734-3630

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 Tierra Derusha's NPI number?

The NPI number for Tierra Derusha is 1700645165. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Tierra Derusha located?

Tierra Derusha practices at 4860 Y St Ste 1600, Sacramento, CA 95817. The listed phone number is (916) 734-3630.

What is Tierra Derusha'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 Tierra Derusha was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.