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DEREK ROGOZ
NPI 1336720804
Physician Assistant in Inglewood, CA

Active since April 16, 2021
301 N PRAIRIE AVE STE 202, INGLEWOOD, CA 90301(323) 480-4075 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Apr 16, 2021 (2 updates tracked since 2021).

About Derek Rogoz NPPES

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

DEREK ROGOZ (NPI 1336720804) is an individual physician assistant in Inglewood, California, licensed in California (59384) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1336720804
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDEREK ROGOZ
Location Address301 N PRAIRIE AVE STE 202Inglewood, CA 90301-4509
Mailing Address301 N Prairie Ave Ste 202Inglewood, CA 90301-4509 · (323) 480-4075
Phone(323) 480-4075
Sole ProprietorNo
Enumeration DateApril 16, 2021
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1336720804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 59384
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 N PRAIRIE AVE STE 202, Inglewood, CA 90301
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Other Identifiers 3

Medicaid1992306872CA
Medicaid1043410871CA
Medicaid1598273328CA

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.

ADVANCED WOUND CARE GROUP
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Los Angeles County (323) 480-4075
WOUND CARE MEDICAL GROUP
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Los Angeles County (323) 480-4075
BERNADINE ANNE PERLAS RN
Registered Nurse
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Los Angeles County (323) 480-4075
WOUND PROS
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Los Angeles County (888) 880-3451
CALIFORNIA WOUND DOCTORS GROUP
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Los Angeles County (323) 480-4075
CALIFORNIA WOUND CARE SPECIALISTS
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Los Angeles County (323) 480-4075

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 Derek Rogoz's NPI number?

The NPI number for Derek Rogoz is 1336720804. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Derek Rogoz located?

Derek Rogoz practices at 301 N Prairie Ave Ste 202, Inglewood, CA 90301. The listed phone number is (323) 480-4075.

What is Derek Rogoz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Derek Rogoz was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.