Verretta Deorosan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G73639 Issued in CA

Practice address

11502 S Vermont Ave
Los Angeles, CA 90044-6522

Phone

(323) 779-2800

Fax

(323) 754-4014

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deorosan Professional Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1497939177
  Medicare reassignment NPD Authorized official
• Howard Fein MD Inc

  • Dermatology Physician
  • Rllng HLS Est, CA
  • NPI 1073795266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1104997683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446522",
            "telephone_number": "323-779-2800",
            "fax_number": "323-754-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900446522",
            "telephone_number": "323-779-2800",
            "fax_number": "323-754-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOROSAN",
        "first_name": "VERRETTA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG736390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajita Deodhar, M.D
• L'Aurelle Deogratias, MSN, APNP, PMHNP-BC
• Tapinder Kaur Deol, DDS
• Pamela Law Deomampo, M.D.
• Deorosan Professional Medical Corporation
• Tyler Depalma-Shields
• Department of Health Services
• Department of Mental Health
• Department of Mental Health
• Department of Mental Health

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.