DEREK JOSEPH GILL NPI 1609695204

NPI Information

  • NPI: 1609695204
  • Provider Name: DEREK JOSEPH GILL
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 202 ISLAND AVE # 240
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (304) 222-3450

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NPI Details

Derek Joseph Gill is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Derek Joseph Gill NPI is 1609695204. 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:

202 ISLAND AVE # 240
SAN DIEGO, CA
ZIP 92101-826
Phone: (304) 222-3450

The enumeration date for this NPI number is 10/9/2024 and was last updated on 10/9/2024.

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
1171000000XMilitary Health Care ProviderYes

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: 11/21/2025

NPI Synchronization or Removal

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