MR. DEREK MICHAEL SAUCEDA CATC
NPI 1023520590
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Q: What is Derek Sauceda's NPI number?

The NPI number for Derek Sauceda is 1023520590. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Derek Sauceda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Derek Sauceda was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2017

1222 MONACO CT STE 28, STOCKTON, CA 95207(209) 644-6328(209) 644-6308 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 16, 2018, Oct 24, 2017 (2 updates tracked since 2017).

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About Mr. Derek Michael Sauceda Catc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEREK MICHAEL SAUCEDA CATC (NPI 1023520590) is an individual addiction (substance use disorder) provider in Stockton, California, licensed in California (179702) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1023520590

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. DEREK MICHAEL SAUCEDACredential: CATC

Location Address1222 MONACO CT STE 28Stockton, CA 95207-6742

Mailing Address102 W Bianchi RdStockton, CA 95207-7132 · (209) 644-6319

Phone(209) 644-6328

Fax(209) 644-6308

Sole ProprietorYes

Enumeration DateOctober 24, 2017

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1023520590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in CA · 179702✔ Licensed in CA · 390017AN

1222 MONACO CT STE 28, Stockton, CA 95207

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Other Identifiers 1

Other390017ANCA · Court Ordered Orself Pay

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN MATTTHEW ILONUMMI RADT

Counselor (Addiction (Substance Use Disorder))

1222 MONACO CT STE 28
STOCKTON, CA 95207

San Joaquin County (209) 644-6328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Sauceda's NPI number?

The NPI number for Derek Sauceda is 1023520590. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Derek Sauceda located?

Derek Sauceda practices at 1222 Monaco Ct Ste 28, Stockton, CA 95207. The listed phone number is (209) 644-6328.

What is Derek Sauceda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derek Sauceda was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.