Desert Speech

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DESERT SPEECH

Practice address

35800 Bob Hope Dr Ste 200
Rancho Mirage, CA 92270-1739

Phone

(191) 754-7676

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oksana DerderianNPI 1699218776

Title

SLP

Phone

(917) 547-6767

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oksana Derderian

  • Speech-Language Pathologist
  • Rancho Mirage, CA
  • NPI 1699218776

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1790438513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR STE 200",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701739",
            "telephone_number": "191-754-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR STE 200",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701739",
            "telephone_number": "191-754-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "DERDERIAN",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "917-547-6767"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Orthopedic Center a Medical Group Inc (Desert Orthopedic Pain Management Clinic)
• Desert Orthopedic Center, a Medical Group Inc.
• Desert Orthopedic Surgery Center
• Desert Pain Specialists, Inc
• Desert Podiatry Group
• Desert Speech Therapy Inc.
• Desert Spine and Neurosurgical Institute, Inc
• Desert Valley OBGYN Inc
• Desert View Homecare LLC
• Desert Vision Center Medical Associates, Inc

• Speech-Language Pathologist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.