SONA DERBEDERIAN NP
NPI 1104605740
Nurse Practitioner - Family in Los Angeles, CA

Active since September 25, 2023PECOS EnrolledAccepts Medicare Assignment
8635 W 3RD ST STE 770, LOS ANGELES, CA 90048(310) 423-2129(310) 248-8596 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 12, 2026, Mar 7, 2024 (2 updates tracked since 2024).

About Sona Derbederian Np NPPES

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

SONA DERBEDERIAN NP (NPI 1104605740) is an individual family provider in Los Angeles, California, licensed in California (95026161) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104605740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONA DERBEDERIANCredential: NP
Location Address8635 W 3RD ST STE 770Los Angeles, CA 90048-6108
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-2129 · Fax (310) 248-8596
Fax(310) 248-8596
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 25, 2023
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1104605740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95026161
8635 W 3RD ST STE 770, Los Angeles, CA 90048

Secondary Practice Locations 2

Location 18700 Gracie Allen Dr Ste B220Los Angeles, CA 90048-3811 · Phone (310) 423-5252
Location 28700 Beverly Blvd Ste B220West Hollywood, CA 90048-1804 · Phone (310) 423-5252 · Fax (310) 423-8441

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sona Derbederian Np 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.

PECOS PAC ID7618314154
PECOS Enrollment IDI20240320001934
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sona Derbederian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8700 BEVERLY BLVD STE SB-290
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
General Acute Care Hospital
8700 BEVERLY BLVD
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 1,001 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
8635 W 3RD ST STE 770
LOS ANGELES, CA 90048
Surgery
8635 W 3RD ST STE 770
LOS ANGELES, CA 90048
Surgery (Surgical Critical Care)
8635 W 3RD ST STE 770
LOS ANGELES, CA 90048

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 Sona Derbederian's NPI number?

The NPI number for Sona Derbederian is 1104605740. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Sona Derbederian located?

Sona Derbederian practices at 8635 W 3rd St Ste 770, Los Angeles, CA 90048. The listed phone number is (310) 423-2129.

What is Sona Derbederian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sona Derbederian enrolled in Medicare?

Yes. Sona Derbederian 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.

Which organizations bill Medicare for Sona Derbederian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sona Derbederian reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Cedars-Sinai Medical Center (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sona Derbederian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sona Derbederian was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.