Maral Vahe Derkhorenian

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95004328 Issued in CA

Practice address

160 S 7TH Ave
La Puente, CA 91746-3211

Phone

(626) 974-0770

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Enki Health Services, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1932230638
  Medicare reassignment NPD
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1720164882
  Medicare reassignment NPD
• Turning Point of Central California, Inc.

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1346379328
  Medicare reassignment NPD
• Enki Health Services, Inc.

  • Community/Behavioral Health Agency
  • Commerce, CA
  • NPI 1366574188
  NPD
• Telecare Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • San Diego, CA
  • NPI 1275398935
  NPD
• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1902931595
  NPD
• Turning Point of Central California, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1063093839
  NPD
• Turning Point of Central California, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
  • NPI 1073804498
  NPD
• Turning Point of Central California, Inc.

  • Community/Behavioral Health Agency
  • Huron, CA
  • NPI 1730653221
  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1336693019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 MORADA PL",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013232",
            "telephone_number": "818-442-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 7TH AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917463211",
            "telephone_number": "626-974-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Sanger",
            "state": "CA",
            "postal_code": "936572128",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-587-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Pinedale",
            "state": "CA",
            "postal_code": "936501239",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-587-6405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 McCall Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936622560",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-566-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 11th St",
            "address_purpose": "LOCATION",
            "city": "Reedley",
            "state": "CA",
            "postal_code": "936542926",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-587-6408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 S Madera Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Kerman",
            "state": "CA",
            "postal_code": "936301401",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-566-1387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Coalinga Plz",
            "address_purpose": "LOCATION",
            "city": "Coalinga",
            "state": "CA",
            "postal_code": "932101704",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-563-6078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Mendota",
            "state": "CA",
            "postal_code": "936408232",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36618 Lassen Ave",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "CA",
            "postal_code": "93234",
            "country_code": "US",
            "telephone_number": "855-343-1057",
            "fax_number": "844-230-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERKHORENIAN",
        "first_name": "MARAL",
        "middle_name": "VAHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "638416",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda De Anda
• Barouir Arshag Deirmenjian
• Jennifer Dela Rosa
• Rachel Delayo
• Sally Magdy Nashed Demian, PH.D
• Destinys Doula Services LLC
• Ryan Keith Diaz
• Emme Lan P Dieu, BRN
• Andreas Dimeo, PHD
• DMH

• Psychiatric/Mental Health Nurse Practitioner in La Puente, CA
• Providers in La Puente, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.