DEREK ROGOZ NPI 1336720804

NPI Information

  • NPI: 1336720804
  • Provider Name: DEREK ROGOZ
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 301 N PRAIRIE AVE STE 202
    INGLEWOOD, CA
    ZIP 90301
  • Phone: (323) 480-4075

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NPI Details

Derek Rogoz is a physician assistant in Inglewood, CA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Derek Rogoz NPI is 1336720804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 N PRAIRIE AVE STE 202
INGLEWOOD, CA
ZIP 90301-509
Phone: (323) 480-4075

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • Removal of inflamed or infected skin, up to 10% of body surface (HCPCS:11000)

The enumeration date for this NPI number is 4/16/2021 and was last updated on 2/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2363A00000XPhysician Assistant59384CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11992306872MEDICAIDCALIFORNIA
21043410871MEDICAIDCALIFORNIA
31598273328MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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