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Deandre Dickerson
NPI 1013641059 · Peer Specialist · Gardena, CA
Deandre Dickerson is a Peer Specialist provider in Gardena, CA (NPI 1013641059).
Provider details
- NPI number
- 1013641059
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone: (310) 679-2730
Street-level locationGet directions
Mailing address
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2022-07-14
- Certified
- 2022-07-14
Frequently asked questions
- What is Deandre Dickerson's NPI number?
- Deandre Dickerson's National Provider Identifier (NPI) is 1013641059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deandre Dickerson's specialty?
- Deandre Dickerson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Deandre Dickerson located?
- Deandre Dickerson's practice location on file with NPPES is 15519 Crenshaw Blvd, Gardena, CA 90249-4525.
- What is Deandre Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Deandre Dickerson is (310) 679-2730.
- Is Deandre Dickerson's NPI active?
- Yes — Deandre Dickerson's NPI (1013641059) is active in the NPPES registry as of the last update on 2022-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.