MEDICARE: DR. DERRICK R DARNSTEADT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	A92752	CA
2	207P00000X	Emergency Medicine Physician	MD.30306	AL
3	208D00000X	General Practice Physician	A92752	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1497725758	OTHER	AL	TRICARE SOUTH
2	Z10777	OTHER	AL	VIVA HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	511-09380	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1497725758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DERRICK R DARNSTEADT MD

Provider Business Mailing Address
First Line	:	1825 WESTHOLME AVE APT 5
Second Line	:	EMERGENCY DEPARTMENT
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4954
Country	:	US
Telephone Number	:	310-801-8546
Fax Number	:

Provider Business Practice Location Address
First Line	:	11301 WILSHIRE BLVD
Second Line	:	EMERGENCY DEPARTMENT
City	:	LOS ANGELES
State	:	CA
Zip	:	90073-1003
Country	:	US
Telephone Number	:	310-268-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	04/26/2017

Similar Medicare Providers

1295739043 — DR. MARK S HORNG MD
Practice Location Address:

11301 WILSHIRE BLVD , 10-C-1
LOS ANGELES, CA
90073-1003

Practice Phone: 310-478-3711
Practice Fax: 310-268-4433

1972509685 — DR. DONALD YUEN SZE D.M.D.
Practice Location Address:

11301 WILSHIRE BLVD # W160 , BLDG 500, GROUND FLOOR, DENTAL CLINIC
LOS ANGELES, CA
90073-1003

Practice Phone: 310-268-3264
Practice Fax: 310-268-3941

1528049657 — DR. CHARLES D. MARTINEZ AU.D.
Practice Location Address:

11301 WILSHIRE BLVD , AUDIOLOGY - 126
LOS ANGELES, CA
90073-1003

Practice Phone: 310-268-3701
Practice Fax: 310-268-4791

1871572826 — MARINEH BOJALIAN M.D.
Practice Location Address:

11301 WILSHIRE BLVD , BLDG 500, MAIL CODE 10H2
LOS ANGELES, CA
90073-1003

Practice Phone: 310-478-3711
Practice Fax:

1528027174 — DR. DONALD EKNOYAN M.D.
Practice Location Address:

11301 WILSHIRE BLVD
LOS ANGELES, CA
90073-1003

Practice Phone: 310-478-3711
Practice Fax:

1023078201 — EDWARD LOTT PA
Practice Location Address:

11301 WILSHIRE BLVD , 111F
LOS ANGELES, CA
90073-1003

Practice Phone: 310-268-3864
Practice Fax: 310-268-4928

Directions to “ DR. DERRICK R DARNSTEADT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.