Mary Jennifer Derebery
Otolaryngic Allergy Physician · Los Angeles, CA
Mary Jennifer Derebery is an otolaryngic allergy physician with a practice address in Los Angeles, California, and NPI 1457440992, issued on Oct 12, 2006. Check the license (California C42073, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Mary Jennifer Derebery
- Primary taxonomy
- Otolaryngic Allergy Physician 207YX0602X
- License number
- C42073 CA
Self-reported in NPPES; status is on the state search - Practice location
- 2100 W 3RD St, Los Angeles, CA 90057
- Phone
- (213) 483-9930
- Enumerated
- Oct 12, 2006
- Record last updated
- Aug 15, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (213) 483-0905
- Entity
- Type 1 · individual
8 nearest otolaryngic allergy physician records → All 12 in California → Look up another NPI →
Also registered at 2100 W 3RD St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Tricia Benjamin, A.U.D.Audiologist1407122500
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- Meredith Burke, MA, CCC- SLPSpeech-Language Pathologist1386762656
Verify Mary Jennifer Derebery in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license C42073Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average otolaryngic allergy physician in 2024
16 Medicare Part D claims, against an average of 867 among the 91 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Mary Jennifer Derebery among 12 otolaryngic allergy physician records in California
Mary Jennifer Derebery is one of 12 otolaryngic allergy physician records with a practice address in California. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 42% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileNo · 58% of these records are
- Record last updated2013 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207YX0602X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngic Allergy Physician providers in California
There are 12 otolaryngic allergy physician records in California.
All 12 in California → Every provider in Los Angeles → Otolaryngic Allergy Physician nationwide →
The 8 otolaryngic allergy physician records with the nearest ZIP codes
- Akira Ishiyama, MDLos Angeles, CA 900951932125044
- Sidney Fishman, MDNewport Beach, CA 926601417953043
- Quoc Nguyen, M.D.Garden Grove, CA 928431659394419
- Naveen Bhandarkar, M.D.Orange, CA 928681205010360
- Edward Kuan, MDOrange, CA 928681295091155
- Ivor Emanuel, MDSan Francisco, CA 941021649208612
- David Liu, MDStanford, CA 943051427898089
- Kristin Woodbury, D.O.Fairfield, CA 945331861614067
Common questions
What is Mary Jennifer Derebery's NPI number?
Mary Jennifer Derebery's National Provider Identifier (NPI) is 1457440992, issued on Oct 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mary Jennifer Derebery located?
The NPPES record lists a practice address at 2100 W 3RD St, Los Angeles, CA, 90057. Phone: (213) 483-9930. Providers update this record themselves, so call before visiting.
How can I verify Mary Jennifer Derebery's license?
NPPES lists California license number C42073, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mary Jennifer Derebery prescribe under Medicare Part D?
In 2024, Mary Jennifer Derebery had 16 Medicare Part D claims; the average among otolaryngic allergy physician prescribers was 867. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.