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

Dana Ashli Derissi, PA-C

Individual provider Medical Physician Assistant · NPI 1063829505

Dana Ashli Derissi, PA-C is a Physician Assistant in LA Mesa, California. Graduated from Stanford University School of Medicine in 2014, 12 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 740-4071
Show map & directions

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

Additional practice locations (4)

  • 525 E Main St, El Cajon, CA 92020-4007 — (619) 515-2498
  • 9834 Genesee Ave Ste 221, La Jolla, CA 92037-1215 — (858) 558-1275
  • 556 S Fair Oaks Ave Ste 101-214, Pasadena, CA 91105-2656 — (323) 250-3720
  • 3020 Childrens Way, San Diego, CA 92123-4223 — (858) 966-8800

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA51577 (CA)

Record details

NPI number1063829505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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