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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DAVID DERANIAN
NPI 1033014360
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since October 08, 2026
856 W 19TH ST, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record added: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About David Deranian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID DERANIAN (NPI 1033014360) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (RT1460180926) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1033014360
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDAVID DERANIAN
Location Address856 W 19TH STSan Pedro, CA 90731-5314
Mailing Address376 W 15th StSan Pedro, CA 90731-4806
Phone(310) 519-8723
Sole ProprietorNo
Enumeration DateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1033014360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · RT1460180926
856 W 19TH ST, San Pedro, CA 90731
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRED BROWN'S RECOVERY SERVICES, INC.
Substance Abuse Rehabilitation Facility
856 W 19TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
MR. BERRY GORDON DENTON
Counselor (Addiction (Substance Use Disorder))
856 W 19TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
THOMAS HYATT
Counselor (Addiction (Substance Use Disorder))
856 W 19TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
MARK STEELE
Counselor (Addiction (Substance Use Disorder))
856 W 19TH ST
SAN PEDRO, CA 90731
Los Angeles County (424) 570-4008
ANDREA SOTO CADC II
Counselor (Addiction (Substance Use Disorder))
856 W 19TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
VICTOR JEROME POITIER
Counselor (Addiction (Substance Use Disorder))
856 W 19TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Deranian's NPI number?

The NPI number for David Deranian is 1033014360. It was assigned to this individual provider in the NPPES registry on October 8, 2026.

Where is David Deranian located?

David Deranian practices at 856 W 19th St, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is David Deranian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for David Deranian was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.