DEREK DENG NPI 1114686383

NPI Information

  • NPI: 1114686383
  • Provider Name: DEREK DENG
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 920 GRAND AVE
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (415) 376-2310

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NPI Details

Derek Deng is a day training habilitation specialist in San Rafael, CA. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Derek Deng NPI is 1114686383. 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:

920 GRAND AVE
SAN RAFAEL, CA
ZIP 94901-506
Phone: (415) 376-2310

The enumeration date for this NPI number is 12/14/2021 and was last updated on 9/11/2025.

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
1373H00000XDay Training/Habilitation SpecialistCALIFORNIAYes
2106S00000XBehavior Technician46-1305562CALIFORNIANo

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: 11/21/2025

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