MISS SHARAREH DERAKHSHANDEH (NPI# 1225216674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225216674 |
| Entity Type | Individual |
| Full Name | MISS SHARAREH DERAKHSHANDEH |
| Credential | PA |
| Practice Address |
2577 Samaritan Dr 845 San Jose CA 95124-4100 |
| Practice Telephone | 4083588507 |
| Practice Fax Number | 4083588506 |
| Mailing Telephone | 4083588507 |
| Mailing Fax Number | 4083588506 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18046 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT | PA 18046 | 01 |
| Street Address |
2577 SAMARITAN DR 845 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659932 | George H Fish | Specialist | 2577 Samaritan Dr, #858, San Jose, CA 95124-4100 | 2005-09-13 |
| 1518303700 | Medoc Investments, Inc | Clinic/Center | 2577 Samaritan Dr, Suite 732, San Jose, CA 95124-4100 | 2013-05-15 |
| 1891046298 | Spectrum Eye Physicians, A Medical Corporation | Optometrist | 2577 Samaritan Dr, Suite 740, San Jose, CA 95124-4100 | 2012-09-25 |
| 1245589589 | South Bay Brain and Spine | Specialist | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-08-31 |
| 1114272978 | South Bay Brain and Spine | Specialist | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-07-18 |
| 1720358971 | Ali Shirzadi | Neurological Surgery | 2577 Samaritan Dr, Suite 710, San Jose, CA 95124-4100 | 2012-01-05 |
| 1114221512 | Noor Sachdev | Psychiatry & Neurology | 2577 Samaritan Dr, Suite #840, San Jose, CA 95124-4100 | 2010-12-29 |
| 1982912804 | Ali Soozani, D.o., Inc. | Physical Medicine & Rehabilitation | 2577 Samaritan Dr, Suite 855f, San Jose, CA 95124-4100 | 2010-09-14 |
| 1417262676 | Padma Mahajan M.d., Inc | Clinic/Center | 2577 Samaritan Dr, Ste 855, San Jose, CA 95124-4100 | 2010-08-12 |
| 1053551994 | Claudia Reay | Pediatrics | 2577 Samaritan Dr, Suite830, San Jose, CA 95124-4100 | 2009-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254674 | Nina Ya Lai | Physician Assistant | 398 Boynton Ave, Apt 11, San Jose, CA 95117-1258 | 2017-02-16 |
| 1285017335 | John Araujo | Physician Assistant | 1375 Blossom Hill Rd Ste 49, San Jose, CA 95118-3806 | 2015-07-08 |
| 1861834400 | Diana Ngoc Nguyen | Physician Assistant | 667 N White Rd, San Jose, CA 95127-1447 | 2013-07-24 |
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1902106982 | Metamorph, Inc. | Physician Assistant | 7725 Kilmarnok Dr, San Jose, CA 95135-2140 | 2010-10-25 |
| 1184671901 | Bina P Raghavan | Physician Assistant | 6260 Grand Oak Way, San Jose, CA 95135-2203 | 2006-05-27 |
| 1366064800 | Naomi Ayodele | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2020-05-07 |
| 1982113007 | Melissa Nastacio | Physician Assistant | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-09-20 |
| 1780038091 | Whitney Aislinn Porter | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2016-04-22 |
| 1902264021 | Briana Gonzalez | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2016-02-03 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.