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

Viktoriya A Derjabin

Individual provider Physician Assistant · NPI 1811744634

Viktoriya A Derjabin is a Physician Assistant in San Bernardino, California. Qualified in 2024, 2 years ago. Practices with Western Acute Care Surgeons Inc, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830
Phone: (909) 475-8611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1811744634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Western Acute Care Surgeons Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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