NUNE DERMENJIAN MD
NPI 1740081124
Student in an Organized Health Care Education/Training Program in Thousand Oaks, CA

Q: What is Nune Dermenjian's NPI number?

The NPI number for Nune Dermenjian is 1740081124. It was assigned to this individual provider in the NPPES registry on March 21, 2025. The provider is also known as Nune Azaryan Dermenjian MD.

Q: What is Nune Dermenjian's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nune Dermenjian was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 21, 2025PECOS Enrolled

215 W JANSS RD, THOUSAND OAKS, CA 91360(805) 852-9229 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Nune Dermenjian Md NPPES

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

NUNE DERMENJIAN MD (NPI 1740081124) is an individual student in an organized health care education/training program in Thousand Oaks, California and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740081124

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNUNE DERMENJIANCredential: MD

Location Address215 W JANSS RDThousand Oaks, CA 91360-1847

Mailing Address215 W Janss RdThousand Oaks, CA 91360-1847 · (805) 852-9229

Phone(805) 852-9229

Sole ProprietorNo

Enumeration DateMarch 21, 2025

NPPES CertifiedMarch 21, 2025

✔ NPI 1740081124 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.

215 W JANSS RD, Thousand Oaks, CA 91360

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Other Names 1

Professional Name (2)Nune Azaryan Dermenjian Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nune Dermenjian Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LOS ROBLES RADIOLOGIC ASSOCIATES

Radiology (Diagnostic Radiology)