Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryam Derakhshani

Individual provider Dentist · NPI 1164800025

Maryam Derakhshani is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

10960 La Alberca Ave
San Diego, CA 92127 Not confirmed with CMS for 11 years — call before visiting
Phone: (416) 272-2797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 64410 (CA)

Record details

NPI number1164800025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2015
Last updated in NPPESMay 12, 2015

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