Individual ProviderDerek PipoloStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3800 W Chapman Ave Ste 500, Orange, CA 92868-1638(714) 456-5770PECOS EnrollmentBased on the most recent information from CMS, provider Derek Pipolo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1285428425Provider TypeIndividualFull NamePipolo, DerekTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/4/2025Last Updated4/4/2025Contact InformationPractice LocationPractice Address3800 W Chapman Ave Ste 500, Orange, CA 92868-1638Phone(714) 456-5770FaxUnlisted FaxMailing LocationMailing Address3800 W Chapman Ave Ste 500, Orange, CA 92868-1638PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer