DERDERYAN MEDICAL GROUP INC.
NPI 1457712309
Internal Medicine in Sherman Oaks, CA

Q: What is Derderyan Medical Group Inc.'s NPI number?

The NPI number for Derderyan Medical Group Inc. is 1457712309. It was assigned to this organization in the NPPES registry on March 18, 2016.

Q: What is Derderyan Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 18, 2016

4955 VAN NUYS BLVD STE 308, SHERMAN OAKS, CA 91403(646) 552-1547 Get Directions Write a Review

NPPES record last updated: February 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2021, Mar 18, 2016 (2 updates tracked since 2016).

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About Derderyan Medical Group Inc. NPPES

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

DERDERYAN MEDICAL GROUP INC. (NPI 1457712309) is a healthcare organization registered as an internal medicine in Sherman Oaks, California and active in the NPI registry since March 2016. The organization lists Edmond Varuzhan Derderyan, President/owner, as its authorized official.

NPPES Registry Identity

NPI1457712309

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDERDERYAN MEDICAL GROUP INC.

Location Address4955 VAN NUYS BLVD STE 308Sherman Oaks, CA 91403-1811

Mailing Address4955 Van Nuys Blvd Ste 308Sherman Oaks, CA 91403-1811

Phone(646) 552-1547

Organization SubpartNo

Authorized OfficialEdmond Varuzhan DerderyanPresident/owner · (646) 552-1547

Enumeration DateMarch 18, 2016

Last NPPES UpdateFebruary 7, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2021

✔ NPI 1457712309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4955 VAN NUYS BLVD STE 308, Sherman Oaks, CA 91403

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

DR. EDMOND DERDERIAN M.D.

Internal Medicine