Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Miss. Sharareh Derakhshandeh, PA

Individual provider Medical Physician Assistant · NPI 1225216674

Miss. Sharareh Derakhshandeh, PA is a Physician Assistant in San Jose, California. Qualified in 2005, 21 years ago. Practices with Golden State Providers, a Medical Corporation, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
21
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone: (408) 559-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA18046

Record details

NPI number1225216674
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Golden State Providers, A Medical Corporation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients38
Services billed 43 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Golden State Providers, a Medical Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 23 clinicians in the practice; 12 are shown here.

Other providers in San Jose