Elika Derek, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A117936 Issued in CA

Practice address

1225 Wilshire Blvd
Los Angeles, CA 90017-1901

Phone

(310) 809-4100

NPI assigned

Aug 21, 2009

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

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

General Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008

Medicare assignment

May accept Medicare assignment

Group practices

Superclinic Professionals Medical Corp a California CorporationGroup PAC ID 6507120656, 11 clinicians

SNF Wound CareGroup PAC ID 1759699176, 28 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• SNF Wound Care

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114393311
  Medicare reassignment Care Compare group NPD
• Superclinic Professionals Medical Corp a California Corporation

  • Multi-Specialty Clinic/Center
  • North Hollywood, CA
  • NPI 1326564212
  Medicare reassignment Care Compare group NPD
• El Monte Clinica Medica General Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • El Monte, CA
  • NPI 1093762593
  Medicare reassignment NPD
• Innovative Medical Solutions Inc a Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Panorama City, CA
  • NPI 1972624955
  Medicare reassignment NPD
• Los Angeles Clinica Medica General Medical Center, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265489751
  Medicare reassignment
• California Trauma Medical Associates Inc

  • Specialist
  • Los Angeles, CA
  • NPI 1083647697
  NPD (past)
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Rancho Palos Verdes, CA
  • NPI 1932503653
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1427280510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171901",
            "telephone_number": "310-809-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREK",
        "first_name": "ELIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A117936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghrig Derbedrossian, MFT
• Britton Derby, MFTI
• Jeanette Derdemezi, MD
• Mary Jennifer Derebery
• Derek H. Jones MD Inc.
• Sehine Estfinos Deres, LVN
• Eric Dereza, L.C.S.W.
• Marvin Derezin, MD
• Sunita Dergalust, PHARMD, BCPS
• Ariss Derhovanessian, M.D.

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.