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

Adeeb Derakhshan

Individual provider Otolaryngology Physician · NPI 1730615287

Adeeb Derakhshan is an Otolaryngology in Loma Linda, California. Qualified in 2017, 9 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Maryland.

Years since qualifying
9
Licensed in
CA, MD
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11234 Anderson St Rm 2586A
Loma Linda, CA 92354-2804
Phone: (909) 558-7884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 243 Charles St, Boston, MA 02114-3002 — (617) 573-3007
  • 601 N Caroline St, Baltimore, MD 21287-0006 — (410) 955-5000

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A188212 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence D93707 (MD)

Record details

NPI number1730615287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Loma Linda