Individual provider · Type 1 NPI

Timothy James Derego, FNP-C

Nurse Practitioner · San Diego, CA

NPI number 1013756154 Active

Practice location

3811 Valley Centre Dr # S99
San Diego, CA 92130-3318

Call (858) 764-3000 Map

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95028760 (CA)
Primary Care Nurse Practitioner 363LP2300X95028760 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013756154

Timothy James Derego, FNP-C's National Provider Identifier is 1013756154, issued on May 20, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 25, 2024.