DAVID DERANIAN (NPI# 1235683020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235683020 |
| Entity Type | Individual |
| Full Name | DAVID DERANIAN |
| Practice Address |
18090 Beach Blvd Suite 5 Huntington Beach CA 92648-1327 |
| Practice Telephone | 7148412430 |
| Practice Fax Number | 7148412476 |
| Mailing Telephone | 7148412430 |
| Mailing Fax Number | 7148412476 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CATC I 167485 | CA | Behavioral Health & Social Service Providers |
| Street Address |
18090 BEACH BLVD SUITE 5 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648-1327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286731 | Surf City Recovery | Community/Behavioral Health | 18090 Beach Blvd, Suite 6, Huntington Beach, CA 92648-1327 | 2016-02-24 |
| 1578013603 | Surf City Recovery | Substance Abuse Rehabilitation Facility | 18090 Beach Blvd, Suite 6, Huntington Beach, CA 92648-1327 | 2016-10-13 |
| 1225587850 | Michael J Gentiluomo | Counselor | 18090 Beach Blvd, 5&6, Huntington Beach, CA 92648-1327 | 2016-09-23 |
| 1861946485 | Donald Owen | Counselor | 18090 Beach Blvd, #5, Huntington Beach, CA 92648-1327 | 2016-08-11 |
| 1477007185 | Laura Robertson | Counselor | 18090 Beach Blvd, Suite 5, Huntington Beach, CA 92648-1327 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140945 | Johnnie Peeples Jr. | Counselor | 18090 Beach Blvd Ste 6, Huntington Beach, CA 92648-1327 | 2019-12-09 |
| 1841854064 | Framework Recovery, Inc. | Counselor | 15061 Springdale St Ste 112, Huntington Beach, CA 92649-1194 | 2019-04-23 |
| 1124598644 | Kate Livingood | Counselor | 18632 Beach Blvd Ste 240, Huntington Beach, CA 92648-2047 | 2018-11-27 |
| 1104311588 | Kelsey Huberty | Counselor | 19126 Magnolia St Ste 101, Huntington Beach, CA 92646-2235 | 2018-06-27 |
| 1104333764 | Kevin Garner | Counselor | 727 Owen Dr # A-c, Huntington Beach, CA 92648-2588 | 2018-01-04 |
| 1902349095 | George Vilagut | Counselor | 16787 Beach Blvd # 274, Huntington Beach, CA 92647-4848 | 2016-11-22 |
| 1851783948 | Nanette Zumwalt Cadc-1, Ccjp | Counselor | 21062 Brookhurst St Ste 202, Huntington Beach, CA 92646-7404 | 2015-02-26 |
| 1730503764 | Laura Macdonald | Counselor | 20961 Snug Harbor Cir, Huntington Beach, CA 92646-6314 | 2014-02-11 |
| 1144592460 | Denise Sunny Smoke | Counselor | 225 7th St, Huntington Beach, CA 92648-5049 | 2012-02-01 |
| 1811268113 | Buckeye Recovery Network, LLC | Counselor | 19322 Beach Blvd, Huntington Beach, CA 92648 | 2012-01-18 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
Please comment or provide details below to improve the information on DAVID DERANIAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.