Socal Facial Plastic Surgery, Inc

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

SOCAL FACIAL PLASTIC SURGERY, INC

Practice address

3333 Concours BLDG 3
Ontario, CA 91764-4875

Phone

(304) 881-3170

NPI assigned

Feb 10, 2026

Organization subpart

No

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

Authorized official

Name

Adeeb Derakhshan, MDNPI 1730615287

Title

Surgeon

Phone

(951) 783-9198

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adeeb Derakhshan

  • Otolaryngology Physician
  • Loma Linda, CA
  • NPI 1730615287
  NPD Authorized official

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1346192622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 INDIANA AVE STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925067205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS BLDG 3",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644875",
            "telephone_number": "304-881-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL FACIAL PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "DERAKHSHAN",
        "authorized_official_first_name": "ADEEB",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "951-783-9198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Smith
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• Tiara Smith
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• Lolofi Soakai
• Simonemarie H Sohk
• Elizabeth Sohn
• Sol Cohen-Sedgh Dental Corporation
• Sol Cohen-Sedgh Dental Corporation
• Nathan Solano

• Facial Plastic Surgery Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.