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MISS SHARAREH DERAKHSHANDEH PA
NPI 1225216674
Physician Assistant - Medical in San Jose, CA

Active since February 07, 2008PECOS EnrolledAccepts Medicare Assignment
2425 SAMARITAN DR, SAN JOSE, CA 95124(408) 559-2011 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Sharareh Derakhshandeh Pa NPPES

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

MISS SHARAREH DERAKHSHANDEH PA (NPI 1225216674) is an individual medical provider in San Jose, California, licensed in (PA18046) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1225216674
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS SHARAREH DERAKHSHANDEHCredential: PA
Location Address2425 SAMARITAN DRSan Jose, CA 95124-3908
Mailing Address2425 Samaritan DrSan Jose, CA 95124-3908
Phone(408) 559-2011
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 7, 2008
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1225216674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed · PA18046
2425 SAMARITAN DR, San Jose, CA 95124
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Other Identifiers 1

OtherPA 18046CA · Physician Assistant

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

Miss Sharareh Derakhshandeh Pa 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 ID8325065345
PECOS Enrollment IDI20051028000846
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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
11 services11 patients

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.

HARRAMANJOYT HANS-BRAR RD
Dietitian, Registered
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-2501
MICHAEL THOMAS PAIGE MD
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 558-2100
AUDREY LEE ADAMS MD
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 558-2100
DR. JOON SEOK SUH MD
Internal Medicine
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-2011
MADELEINE VO
Physician Assistant
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-2011
DR. AUDREY LEE
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 559-2011
JOHN BRET CELLAR MD
Anesthesiology
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 558-2100
LIGIA SORAYA ABOHANDE FNP
Nurse Practitioner (Family)
2425 SAMARITAN DR
SAN JOSE, CA 95124
Santa Clara County (408) 616-0649

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 Sharareh Derakhshandeh's NPI number?

The NPI number for Sharareh Derakhshandeh is 1225216674. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Sharareh Derakhshandeh located?

Sharareh Derakhshandeh practices at 2425 Samaritan Dr, San Jose, CA 95124. The listed phone number is (408) 559-2011.

What is Sharareh Derakhshandeh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sharareh Derakhshandeh enrolled in Medicare?

Yes. Sharareh Derakhshandeh 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 Sharareh Derakhshandeh was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.