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

Timothy James Derego, FNP-C

Individual provider Nurse Practitioner · NPI 1013756154

Timothy James Derego, FNP-C is a Nurse Practitioner in San Diego, California. Qualified in 2023, 3 years ago. Practices with Scripps Health, a 1,446-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3811 Valley Centre Dr # S99
San Diego, CA 92130-3318
Phone: (858) 764-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95028760 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95028760 (CA)

Record details

NPI number1013756154
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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