DANA ASHLI DERISSI P.A.-C
NPI 1063829505
Physician Assistant - Medical in La Mesa, CA
About Dana Ashli Derissi P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA ASHLI DERISSI P.A.-C (NPI 1063829505) is an individual medical provider in La Mesa, California, licensed in California (PA51577) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Stanford University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dana Ashli Derissi P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA MESA, CA 91942
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 Dana Derissi's NPI number?
The NPI number for Dana Derissi is 1063829505. It was assigned to this individual provider in the NPPES registry on July 16, 2014.
Where is Dana Derissi located?
Dana Derissi practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-4071.
What is Dana Derissi's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dana Derissi enrolled in Medicare?
Yes. Dana Derissi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Dana Derissi was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Dana Ashli Derissi, P.A.-C · NPI 1063829505
Medical physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since July 16, 2014.
## Identity
- **NPI:** 1063829505 (Entity type: Individual)
- **Enumerated:** July 16, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA51577 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 740-4071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Stanford University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** September 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063829505) · Data from the CMS NPPES public registry.