Derego, Timothy James

Derego, Timothy James is an individual health care provider with primary practice located at 3811 Valley Centre Dr # S99 , San Diego CA 92130-3318. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Derego, Timothy James can be contacted via phone (858) 764-3000.

Contact Information

Primary practice address
3811 Valley Centre Dr # S99 San Diego CA 92130-3318
Phone: (858) 764-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95028760 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95028760 California

Profile Details

NPI number 1013756154
LBN Legal business name Derego, Timothy James
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2024
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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