Individual Healthcare Provider
Maral Vahe Derkhorenian
Provider's NPPES record last updated: June 16, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1336693019
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- La Puente, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:50 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Registered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000X
Provider-Reported License Information
- Nurse Practitioner (California)
- 95004328
- Registered Nurse (California)
- 638416
Practice Locations
Practice Location
160 S 7th Ave
La Puente, California 91746-3211
Phone: (626) 974-0770
Additional Practice Location
275 S Madera Ave Ste 404
Kerman, California 93630-1401
Phone: (855) 343-1057
Fax: (844) 566-1387
Additional Practice Location
380 Coalinga Plz
Coalinga, California 93210-1704
Phone: (855) 343-1057
Fax: (844) 563-6078
Additional Practice Location
225 Academy Ave
Sanger, California 93657-2128
Phone: (855) 343-1057
Fax: (844) 587-6403
Additional Practice Location
121 Belmont Ave
Mendota, California 93640-8232
Phone: (855) 343-1057
Additional Practice Location
40 E Minarets Ave
Pinedale, California 93650-1239
Phone: (855) 343-1057
Fax: (844) 587-6405
Additional Practice Location
1311 11th St
Reedley, California 93654-2926
Phone: (855) 343-1057
Fax: (844) 587-6408
Additional Practice Location
36618 Lassen Ave
Ste A
Huron, California 93234
Phone: (855) 343-1057
Fax: (844) 230-8561
Additional Practice Location
3400 Mccall Ave Ste 104
Selma, California 93662-2560
Phone: (855) 343-1057
Fax: (844) 566-2683
Record Information
- Enumeration Date
- August 10, 2016
- Provider's NPPES Record Last Updated
- June 16, 2022
- Certification Date
- June 16, 2022
- NPISignal NPPES Dataset
- August 2026
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