DR. MARY JENNIFER DEREBERY – Otolaryngic Allergy Physician, NPI 1457440992

Otolaryngic Allergy Physician

DR. MARY JENNIFER DEREBERY is a healthcare provider. based in Los angeles, California. specializing in Otolaryngic Allergy Physician. They hold a License No. C42073 (CA). The NPI Number for DR. MARY JENNIFER DEREBERY is 1457440992

Main info

Female

47 Years Of Experience

Accepts Medicare Assignment

Name

DR. MARY JENNIFER DEREBERY

NPI

1457440992

Phone

(213) 483-9930

Address

2100 W 3RD ST

Enumeration Date

12 October 2006

Last Update Date

15 August 2013

Doctor Profile

Medical School Name

MEMPHIS HOSPITAL MEDICAL COLLEGE

Secondary Phone

2134839930

Graduation Year

1979 (47 years ago)

PAC ID

7012990708

Group Practice PAC ID

1759364441

Professional Enrollment ID

I20110628000777

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DR. MARY JENNIFER DEREBERY

West 3rd Street, Bunker Hill, Downtown, Los Angeles, Los Angeles County, California, 90071, United States
SUITE 111
LOS ANGELES, CA 900571944
Phone: (213) 483-9930
Fax: (213) 483-0905
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90057)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1759364441View full group profile

Name	Specialty	State
ANTHONY LEE TSAO (AUD)	-	CA
MONICA ANDRIACCHI (AUD)	-	MN
DAWNA MARIA MILLS (AUD)	-	CA
DR. GAUTAM U MEHTA (MD)	-	CA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. MARY JENNIFER DEREBERY's NPI?

You can confirm DR. MARY JENNIFER DEREBERY with NPI 1457440992; it appears in the national provider directory.

Is DR. MARY JENNIFER DEREBERY active in the national directory?

DR. MARY JENNIFER DEREBERY's public NPI profile is in an active state.

Can you summarize DR. MARY JENNIFER DEREBERY's specialty in plain language?

Clinically, the directory lists DR. MARY JENNIFER DEREBERY with Otolaryngic Allergy Physician. Clinical services aligned with this taxonomy classification.

What location metadata exists for DR. MARY JENNIFER DEREBERY?

The page summarizes Los Angeles, California for DR. MARY JENNIFER DEREBERY; expand the address list for detail.

How can I contact DR. MARY JENNIFER DEREBERY?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.