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

Dr. Edmond Derderian, MD

Individual provider Internal Medicine Physician · NPI 1114258944

Dr. Edmond Derderian, MD is an Internal Medicine in Sherman Oaks, California. Qualified in 2001, 25 years ago. Practices with Epic Medical Group, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811
Phone: (818) 528-1044
Fax: (818) 817-0845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A110089 (CA)

Record details

NPI number1114258944
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2010
Last updated in NPPESOctober 24, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Epic Medical Group,Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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