Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Derenne, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114212578

Dr. John Derenne, MD is a Student in an Organized Health Care Education/Training Program in Camp Pendleton, California. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Mercy Cir
Camp Pendleton, CA 92055-5191
Phone: (760) 725-1288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 John Paul Jones Circle, Portsmouth, VA 23708-2197 — (757) 953-5269

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0101252411 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114212578
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

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