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

Individual provider Medical Physician Assistant · NPI 1225216674

Miss. Sharareh Derakhshandeh, PA is a Physician Assistant in San Jose, California. Qualified in 2005, 21 years ago. Practices with Golden State Providers, a Medical Corporation, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
21
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone: (408) 559-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA18046

Record details

NPI number1225216674
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 7, 2008
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Golden State Providers, A Medical Corporation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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