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

Kelli Linn Derrah

Individual provider Pediatrics Physician · NPI 1437766862

Kelli Linn Derrah is a Pediatric Medicine in Sacramento, California. Graduated from Oregon Health Sciences University School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
4
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1020 29th St Ste 480
Sacramento, CA 95816-5173
Phone: (916) 733-3777
Fax: (916) 454-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 550-6141

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A188781 (CA)

Record details

NPI number1437766862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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