Dr John Peter Derdivanis, DDS - Dentist in San Lorenzo, CA

Dr John Peter Derdivanis, DDS is a Dentist - Periodontics based in San Lorenzo, California. Dr John Peter Derdivanis is licensed to practice in California (license number 15206) and his current practice location is 15600 Washington Ave.ste.e, San Lorenzo, California. He can be reached at his office (for appointments etc.) via phone at (510) 276-8366.

NPI number for Dr John Peter Derdivanis is 1821024902 and his current mailing address is 15600 Washington Ave.ste.e, San Lorenzo, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821024902.

Contact Information

Dr John Peter Derdivanis, DDS
15600 Washington Ave.ste.e,
San Lorenzo, CA 94580
(510) 276-8366
(510) 276-1422



Healthcare Provider's Profile

Full NameDr John Peter Derdivanis
GenderMale
SpecialityDentist - Periodontics
Location15600 Washington Ave.ste.e, San Lorenzo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821024902
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr John Peter Derdivanis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821024902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 15206 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Peter Derdivanis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Peter Derdivanis, DDS
15600 Washington Ave.ste.e,
San Lorenzo, CA 94580

Ph: (510) 276-8366
Dr John Peter Derdivanis, DDS
15600 Washington Ave.ste.e,
San Lorenzo, CA 94580

Ph: (510) 276-8366

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› Verified 3 days ago


Dentist in San Lorenzo, CA

Paul Chau Nguyen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15931 Hesperian Blvd, San Lorenzo, CA 94580
Phone: 510-481-5491    
Dr. Shital Kazi, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Lewelling Blvd, San Lorenzo, CA 94580
Phone: 510-276-6040    Fax: 501-315-4886
Dr. Dennis A Hall, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15803 Hesperian Blvd, San Lorenzo, CA 94580
Phone: 510-276-1900    Fax: 510-276-7894
Dr. Richard Rosello Mecua, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17735 Hesperian Blvd, San Lorenzo, CA 94580
Phone: 510-278-7727    Fax: 510-278-5610
Dr. Raymond K Chan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15522 Hesperian Blvd, San Lorenzo, CA 94580
Phone: 510-481-1552    
Dr. Edward J Becker, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15600 Washington Ave, Ste. A, San Lorenzo, CA 94580
Phone: 510-276-7124    Fax: 510-276-2132
Gary R Albright, D.M.D
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 15600 Washington Ave, San Lorenzo, CA 94580
Phone: 510-276-7124    Fax: 510-276-7132

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