VIKTORIYA A DERJABIN
NPI 1811744634
Physician Assistant in San Bernardino, CA

Q: What is Viktoriya Derjabin's NPI number?

The NPI number for Viktoriya Derjabin is 1811744634. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Q: What is Viktoriya Derjabin's specialty?

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

Active since April 30, 2024PECOS EnrolledAccepts Medicare Assignment

401 E HIGHLAND AVE STE 351, SAN BERNARDINO, CA 92404(909) 475-8611 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Sep 10, 2024, Apr 30, 2024 (3 updates tracked since 2024).

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About Viktoriya A Derjabin NPPES

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

VIKTORIYA A DERJABIN (NPI 1811744634) is an individual physician assistant in San Bernardino, California and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811744634

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVIKTORIYA A DERJABIN

Location Address401 E HIGHLAND AVE STE 351San Bernardino, CA 92404-3830

Mailing Address401 E Highland Ave Ste 351San Bernardino, CA 92404-3830 · (909) 820-7200

Phone(909) 475-8611

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 30, 2024

Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2024

✔ NPI 1811744634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

401 E HIGHLAND AVE STE 351, San Bernardino, CA 92404

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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

Viktoriya A Derjabin 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 ID5991285579

PECOS Enrollment IDI20260213000254

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

WESTERN BARIATRIC, A MEDICAL CORPORATION

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