Celena Derderian Pentagulio, in Ventura, CA

Celena Derderian Pentagulio, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ventura, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Regeneration Psychiatry and her current practice location is 300 Hillmont Ave, Ventura, California. You can reach out to her office (for appointments etc.) via phone at (805) 652-6000.

Celena Derderian Pentagulio is licensed to practice in California (license number A178633) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790312783.

Contact Information

	Celena Derderian Pentagulio,
	300 Hillmont Ave, Ventura, CA 93003-1651
	(805) 652-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Celena Derderian Pentagulio
Gender	Female
Speciality	Psychiatry
Experience	1 Years
Location	300 Hillmont Ave, Ventura, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Celena Derderian Pentagulio attended and graduated from University Of Southern California Keck School Of Medicine in 2024

NPI Data:

NPI Number: 1790312783
Provider Enumeration Date: 03/27/2020
Last Update Date: 10/15/2025

Medicare PECOS Information:

PECOS PAC ID: 5991105348
Enrollment ID: I20231211002635

Medical Identifiers

Medical identifiers for Celena Derderian Pentagulio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790312783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A178633 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regeneration Psychiatry	3072911122	12

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Celena Derderian Pentagulio allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Regeneration Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285200584 PECOS PAC ID: 3072911122 Enrollment ID: O20211005000739

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. Celena Derderian Pentagulio is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Celena Derderian Pentagulio, 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 Ph: (323) 409-5555	Celena Derderian Pentagulio, 300 Hillmont Ave, Ventura, CA 93003-1651 Ph: (805) 652-6000

Reviews and Comments

Psychiatry & Neurology Doctors in Ventura, CA

Soleyman Mirakhor, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-667-2850
Dr. Michael Hewitt Mitchell, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-658-5800
Frances O'sullivan, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003 Phone: 805-652-6556
Gergana Mineva, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-948-5672
Dr. Jeffrey A Leonard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2833 Loma Vista Road, Ventura, CA 93003 Phone: 805-648-2504 Fax: 805-648-3914
Dr. Abbey Jordana Freed, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave Ste 302, Ventura, CA 93003 Phone: 805-652-6255
Timothy V. Tice, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2580 E Main St, Suite 200, Ventura, CA 93003 Phone: 805-653-0088 Fax: 805-653-6748

Celena Derderian Pentagulio, - Medicare Psychiatry in Ventura, CA