Rita Derkalousdian, DO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

42885 Issued in CA

Practice address

1808 Verdugo Blvd Ste 120
Glendale, CA 91208-1447

Phone

(818) 952-1124

NPI assigned

Dec 23, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Verdugo Optical

  • Optician
  • Glendale, CA
  • NPI 1588103790
  NPD (past) Authorized official

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1669280582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 VIRGINIA ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141745",
            "telephone_number": "818-667-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD STE 120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081447",
            "telephone_number": "818-952-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKALOUSDIAN",
        "first_name": "RITA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "42885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolin Derhartonian-Deravanessian, D.C.
• Garen Derhartunian, M.D.
• Narek Derhartunian, PHARMD
• Audrey Derian, AMFT APCC
• Derik Alexanians DDS Apc
• Dermacraft Inc
• Dermavex Wound Care
• Daniel Dermendjian, MD
• Mihran Dermenjian, PHARM.D.
• Adriana Dermgrdichian, PHARM.D.

• Optician in Glendale, CA
• Providers in Glendale, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.