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HRAK DERDERIAN M.D. NPI 1619034725


NPI Information

NPI: 1619034725
Provider Name: HRAK DERDERIAN, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: SHERMAN OAKS EMERGENCY MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
6838 NEWCASTLE AVE
RESEDA, CA
ZIP 91335
Phone: (818) 605-1349
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Hrak Derderian, M.D. is an emergency medicine in Reseda, CA with 20 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Hrak Derderian, M.D. NPI is 1619034725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

6838 NEWCASTLE AVE
RESEDA, CA
ZIP 91335-616
Phone: (818) 605-1349
Fax: (818) 605-1349

The NPI 1619034725 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • X-ray of chest, 1 view, front (HCPCS:71010)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 1/2/2007 and was last updated on 2/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1146D00000XPersonal Emergency Response AttendantA92365CALIFORNIANo
2207P00000XEmergency MedicineA92365CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WA92365BMEDICARE PINCALIFORNIA
200A923650MEDICAIDCALIFORNIA
3WA92365DMEDICARE PINCALIFORNIA
4A92365OTHERCALIFORNIASTATE CA LICENSE
5WA92365AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.