Dr Trevor John Derderian, MD - Medicare Vascular Surgery in Rancho Mirage, CA

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Dr Trevor John Derderian, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Rancho Mirage, California. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Empire Vein And Vascular Specialists and his current practice location is 71780 San Jacinto Dr Bldg I, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 568-3461.

Dr Trevor John Derderian is licensed to practice in California (license number 148584) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124346697.

Contact Information

Dr Trevor John Derderian, MD
71780 San Jacinto Dr Bldg I,
Rancho Mirage, CA 92270-5516
(760) 568-3461
Not Available

Map and Direction




Physician's Profile

Full NameDr Trevor John Derderian
GenderMale
SpecialityVascular Surgery
Experience16 Years
Location71780 San Jacinto Dr Bldg I, Rancho Mirage, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Trevor John Derderian graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1124346697
  • Provider Enumeration Date: 05/09/2010
  • Last Update Date: 11/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264748623
  • Enrollment ID: I20170717001933

Medical Identifiers

Medical identifiers for Dr Trevor John Derderian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124346697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 148584 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eisenhower Medical CenterRancho mirage, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Empire Vein And Vascular Specialists19517327596

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. Dr Trevor John Derderian allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameEmergency Associates Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003866120
PECOS PAC ID: 8022196518
Enrollment ID: O20080424000144
Entity NameDesert Vein And Vascular Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821415142
PECOS PAC ID: 4688898398
Enrollment ID: O20140620000315
Entity NameEmpire Vein & Vascular Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821415142
PECOS PAC ID: 1951732759
Enrollment ID: O20200512000499
Entity NameEmpire Vein & Vascular Specialists Asc Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1780311548
PECOS PAC ID: 1052787314
Enrollment ID: O20221012001293

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 Trevor John Derderian 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 AddressPractice Location Address
Dr Trevor John Derderian, MD
71780 San Jacinto Dr Bldg I,
Rancho Mirage, CA 92270-5516

Ph: (760) 568-3461		Dr Trevor John Derderian, MD
71780 San Jacinto Dr Bldg I,
Rancho Mirage, CA 92270-5516

Ph: (760) 568-3461

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.