Deidra Mariah Derrico

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

95395937 Issued in CA

Practice address

5400 Balboa Blvd Ste 326
Encino, CA 91316-5214

Phone

(818) 789-0941

Fax

(818) 789-6726

NPI assigned

Sep 22, 2026

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1740193796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 326",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165214",
            "telephone_number": "818-789-0941",
            "fax_number": "818-789-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 326",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165214",
            "telephone_number": "818-789-0941",
            "fax_number": "818-789-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICO",
        "first_name": "DEIDRA",
        "middle_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "95395937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armine Leila Derdiarian, D.D.S.
• John Francis Derenski, M.A.
• Natalie Derkrikorian
• Dermatology & Laser Medical Center Inc
• Dermatology & Laser Medical Ctr Inc
• Margaret Wallace Desannoy, MFT
• Cheryl Lynn Determan, CCC-SLP
• Developmental Therapy Alliance
• Amanda Devian, M.S., CCC-SLP
• Azizull Kaur Dhadwal

• Pediatric Registered Nurse in Encino, CA
• Providers in Encino, CA by specialty
• Pediatric Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.