Derderyan Medical Group Inc.
NPI 1457712309 · Internal Medicine Physician · Sherman Oaks, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derderyan Medical Group Inc. is a Internal Medicine Physician organization in Sherman Oaks, CA (NPI 1457712309).
Provider details
- NPI number
- 1457712309
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edmond Derderyan, President/Owner(646) 552-1547
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2021-02-07
- Certified
- 2021-02-07
Frequently asked questions
- What is Derderyan Medical Group Inc.'s NPI number?
- Derderyan Medical Group Inc.'s National Provider Identifier (NPI) is 1457712309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derderyan Medical Group Inc.?
- Derderyan Medical Group Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Derderyan Medical Group Inc. located?
- Derderyan Medical Group Inc.'s practice location on file with NPPES is 4955 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1811.
- What is Derderyan Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Derderyan Medical Group Inc. is (646) 552-1547.
- Does Derderyan Medical Group Inc. accept Medicare?
- Derderyan Medical Group Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Derderyan Medical Group Inc.?
- The authorized official listed on Derderyan Medical Group Inc.'s NPPES record is Edmond Derderyan, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derderyan Medical Group Inc.'s NPI active?
- Yes — Derderyan Medical Group Inc.'s NPI (1457712309) is active in the NPPES registry as of the last update on 2021-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.