DEREK JOHN MADAYAG RN NPI 1083397442

NPI Information

NPI: 1083397442
Provider Name: DEREK JOHN MADAYAG, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
3853 ROSECRANS ST
SAN DIEGO, CA
ZIP 92110
Phone: (619) 692-8232
Get Directions

Derek John Madayag, RN is a psychiatric/mental health and adult registered nurse in San Diego, CA. Derek John Madayag, RN NPI is 1083397442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3853 ROSECRANS ST
SAN DIEGO, CA
ZIP 92110-115
Phone: (619) 692-8232
Fax: (619) 542-4060

The enumeration date for this NPI number is 8/10/2023 and was last updated on 8/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	95343156	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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