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

Ray Derakshan, DMD Inc

Organization Preferred Provider Organization · NPI 1255579793

Ray Derakshan, DMD Inc is a Preferred Provider Organization in San Diego, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11134 Rancho Carmel Dr #103
San Diego, CA 92128
Phone: (858) 485-1010
Fax: (858) 485-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 46044 (CA)

Record details

NPI number1255579793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ray Derakshan — Dentist · (858) 485-1010
NPI enumeratedJanuary 21, 2009
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021
Mailing address11134 Rancho Carmel Dr. #103, San Diego, CA 92128

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