Jeffrey H Derkach, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17889 Issued in CA

Practice address

8618 S Sepulveda Blvd
130
Los Angeles, CA 90045-4005

Phone

(310) 649-5894

Fax

(310) 649-5304

NPI assigned

May 14, 2010

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sobol Orthopedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1073636817
  NPD (past)
• Sobol Orthopedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pasadena, CA
  • NPI 1114265873
  NPD (past)

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1669790655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 S SEPULVEDA BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454024",
            "telephone_number": "310-649-5894",
            "fax_number": "310-649-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 S SEPULVEDA BLVD",
            "address_2": "130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454005",
            "telephone_number": "310-649-5894",
            "fax_number": "310-649-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKACH",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Derian, D.P.T.
• Rachel Buckner Derian, PT, DPT
• Derick Gharibian DDS Inc
• Natasha Feise Dering
• Mehron Daniel Deriss, MD
• Dermacore Systems, a Professional Medical Corporation
• Dermalcare Clinic
• Isaac Henry Derman
• Dermatology and Hair Restoration Specialists,Inc.
• Dermatology Express, a Professional Medical Corporation

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.