Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013641059 Individual Practitioner Male Practitioner

Deandre Dickerson

Peer Specialist • Gardena, CA

Professional Overview & Biography Verified Profile Summary

Deandre Dickerson is a registered healthcare professional specializing in Peer Specialist in Gardena, CA. Practice services are available at 15519 CRENSHAW BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15519 Crenshaw Blvd

Gardena, CA 902494525

Telephone 3106792730
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Gardena, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-14
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Elizabeth Gomez-Rojas

Case Manager/Care Coordinator

NPI 1124726419
Sean Kong

Nurse Practitioner

NPI 1265278774
Alexsandra Mcgee

Case Manager/Care Coordinator

NPI 1578285011
Jessica Galdamez

Peer Specialist

NPI 1629773965

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2022

Registered at 15519 CRENSHAW BLVD, GARDENA, CA 902494525 (Tel: 3106792730)

📍
Updated Business Mailing Address July 14, 2022

Registered at 15519 CRENSHAW BLVD, GARDENA, CA 902494525 (Tel: 3106792730)

👤
Provider Name / Credentials Updated July 14, 2022

Recorded as DEANDRE DICKERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013641059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2022
Last Update: July 14, 2022
Sole Proprietor: Yes

Mailing Address

15519 Crenshaw Blvd

Gardena, CA 902494525

Phone: 3106792730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.