Ronald Derayunan, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95034129 Issued in CA

Practice address

1720 E Los Angeles Ave Ste 231
Simi Valley, CA 93065-5813

Phone

(310) 980-7475

NPI assigned

Feb 27, 2025

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Humanity Medical Group IncGroup PAC ID 9638526452, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Humanity Medical Group Inc.

  • Hematology & Oncology Physician
  • Simi Valley, CA
  • NPI 1992407381
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1972300762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 FYLER PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900655106",
            "telephone_number": "213-500-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 231",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655813",
            "telephone_number": "310-980-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAYUNAN",
        "first_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delight Hospice and Palliative Care, Inc
• Leticia Juliette Delling, LMFT
• Deluxe Health Care Services, Inc
• Daniel Demerjian
• Garo Dikran Demirjian
• Rosan Mendoza Derayunan, FNP-BC
• Melissa Deanne Dethloff, MPT
• Ganesh L Devendra, MD
• DHZ Sleep LLC
• Josephine V Di Giacinto-Dovidio, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.