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

Derek Rogoz

Individual provider Physician Assistant · NPI 1336720804

Derek Rogoz is a Physician Assistant in Inglewood, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

301 N Prairie Ave Ste 202
Inglewood, CA 90301-4509
Phone: (323) 480-4075
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59384 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1336720804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 7, 2023
Mailing address301 N Prairie Ave Ste 202, Inglewood, CA 90301-4509

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