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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DEIDRA MARIAH DERRICO
NPI 1740193796
Registered Nurse - Pediatrics in Encino, CA

Active since September 22, 2026
5400 BALBOA BLVD STE 326, ENCINO, CA 91316(818) 789-0941(818) 789-6726 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Deidra Mariah Derrico NPPES

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

DEIDRA MARIAH DERRICO (NPI 1740193796) is an individual pediatrics provider in Encino, California, licensed in California (95395937) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1740193796
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameDEIDRA MARIAH DERRICO
Location Address5400 BALBOA BLVD STE 326Encino, CA 91316-5214
Mailing Address5400 Balboa Blvd Ste 326Encino, CA 91316-5214 · (818) 789-0941 · Fax (818) 789-6726
Phone(818) 789-0941
Fax(818) 789-6726
Sole ProprietorYes
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1740193796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
License✔ Licensed in CA · 95395937
5400 BALBOA BLVD STE 326, Encino, CA 91316
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC TYLER AMPARAN MD
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0941
LAURA BRUCKNER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-8775
DR. SAMUEL SUNGWON KIM M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0941
SAM KIM PHYSICIAN SERVICES INC
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0941
HELEN A LEDERER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0494
DANIEL EUGENE BRUCKNER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0495
DR. JULIA BRUCKNER D.O.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0492
IRWIN BARRY BRUCKNER M.D.
Pediatrics
5400 BALBOA BLVD STE 326
ENCINO, CA 91316
Los Angeles County (818) 789-0492

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 Deidra Derrico's NPI number?

The NPI number for Deidra Derrico is 1740193796. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Deidra Derrico located?

Deidra Derrico practices at 5400 Balboa Blvd Ste 326, Encino, CA 91316. The listed phone number is (818) 789-0941.

What is Deidra Derrico's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Pediatrics, with taxonomy code 163WP0200X.

When was this NPI record last updated?

The NPPES record for Deidra Derrico was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.