ENNIO ROQUE DERAS
NPI 1023640216
Case Manager/Care Coordinator in Los Angeles, CA

Active since February 06, 2020
2121 W TEMPLE ST, LOS ANGELES, CA 90026(213) 385-5100 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ennio Roque Deras NPPES

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

ENNIO ROQUE DERAS (NPI 1023640216) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1023640216
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameENNIO ROQUE DERAS
Location Address2121 W TEMPLE STLos Angeles, CA 90026-4915
Mailing Address2121 W Temple StLos Angeles, CA 90026-4915 · (213) 385-5100
Sole ProprietorNo
Enumeration DateFebruary 6, 2020
NPI 1023640216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2121 W TEMPLE ST, Los Angeles, CA 90026

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Student in an Organized Health Care Education/Training Program
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Case Manager/Care Coordinator
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Case Manager/Care Coordinator
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Marriage & Family Therapist
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Counselor (Mental Health)
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Case Manager/Care Coordinator
2121 W TEMPLE ST
LOS ANGELES, CA 90026
Student in an Organized Health Care Education/Training Program
2121 W TEMPLE ST
LOS ANGELES, CA 90026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023640216, enumerated as an "individual" on February 06, 2020.

The provider is located at 2121 W TEMPLE ST LOS ANGELES, CA 90026 and the phone number is (213) 385-5100.

Case Manager/Care Coordinator with taxonomy code 171M00000X.