Rupen Derboghosian Itutmazian, DDS
NPI 1699831065ActiveIndividual· Dentist, General Practice· Van Nuys, CA
Dentist, General Practice (DDS) in Van Nuys, California, licensed in CA, NV, RI and NH, with an NPI issued in December 2006. Part D covered 19 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1699831065 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Dec 29, 2006 |
| Last updated in NPPES | Feb 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 55226 | CA |
| Dentist | 122300000X | 5411 | NV |
| Dentist | 122300000X | CDEN03106 | RI |
| Dentist | 122300000X | 03895 | NH |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 19 · 19 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $66.91 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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