1. Home
  2. Directory
  3. California
  4. Porter Ranch
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NICOLE SOPHIA DERSAHAKIAN
NPI 1184557977
Student in an Organized Health Care Education/Training Program in Porter Ranch, CA

Active since June 03, 2026
12100 SHADOW RIDGE WAY, PORTER RANCH, CA 91326(818) 807-5374 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Sophia Dersahakian NPPES

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

NICOLE SOPHIA DERSAHAKIAN (NPI 1184557977) is an individual student in an organized health care education/training program in Porter Ranch, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1184557977
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE SOPHIA DERSAHAKIAN
Location Address12100 SHADOW RIDGE WAYPorter Ranch, CA 91326-3827
Mailing Address12100 Shadow Ridge WayPorter Ranch, CA 91326-3827
Phone(818) 807-5374
Sole ProprietorNo
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1184557977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12100 SHADOW RIDGE WAY, Porter Ranch, CA 91326
Open in Google Maps ↗

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 Nicole Dersahakian's NPI number?

The NPI number for Nicole Dersahakian is 1184557977. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Nicole Dersahakian located?

Nicole Dersahakian practices at 12100 Shadow Ridge Way, Porter Ranch, CA 91326. The listed phone number is (818) 807-5374.

What is Nicole Dersahakian's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Dersahakian was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.