Shahin Derboghossians MD Inc
NPI 1811207483ActiveOrganization· Urology· Glendale, CA
Urology in Glendale, California, registered in NPPES in October 2010. The authorized official on file is Shahin Derboghossians, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811207483 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2010 |
| Last updated in NPPES | Oct 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | A42661 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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