Ray Derakshan, DMD Inc
NPI 1255579793ActiveOrganization· Preferred Provider Organization· San Diego, CA
Preferred Provider Organization in San Diego, California, registered in NPPES in January 2009. The authorized official on file is Ray Derakshan, DMD INC., Dentist.
Overview
| NPI | 1255579793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2009 |
| Last updated in NPPES | Oct 22, 2021 |
| Certified by provider | Oct 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 46044 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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