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

Individual provider Urology Physician · NPI 1710915038

Dr. Shahin Derboghossians, MD is an Urology in Glendale, California. Qualified in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
52
Licensed in
CA
In the registry since
2006
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

116 S Louise St
Glendale, CA 91205
Phone: (818) 507-4340
Fax: (818) 507-4308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence A42661 (CA)

Record details

NPI number1710915038
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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