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DERRICK ESTIFANOS
NPI 1063968097
Rehabilitation Practitioner in Canoga Park, CA

Active since August 30, 2016
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303(818) 647-2653 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Sep 29, 2016, Aug 30, 2016 (3 updates tracked since 2016).

About Derrick Estifanos NPPES

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

DERRICK ESTIFANOS (NPI 1063968097) is an individual rehabilitation practitioner in Canoga Park, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1063968097
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDERRICK ESTIFANOS
Location Address6800 OWENSMOUTH AVE STE 160Canoga Park, CA 91303-4255
Mailing Address6800 Owensmouth Ave Ste 160Canoga Park, CA 91303-4255 · (818) 647-2653
Phone(818) 647-2653
Sole ProprietorNo
Enumeration DateAugust 30, 2016
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1063968097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
6800 OWENSMOUTH AVE STE 160, Canoga Park, CA 91303
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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.

VERONICA IRENE DALE R.N., N.P., C.N.S.
Nurse Practitioner (Psychiatric/Mental Health)
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6700
MRS. INES CARRILLO
Rehabilitation Practitioner
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6700
MARY KEESEY
Case Manager/Care Coordinator
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6726
SALVADOR SIERRA
Rehabilitation Practitioner
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6700
CINDY HERRERA
Day Training/Habilitation Specialist
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (213) 349-7947
DANIELA ESCOBEDO
Day Training/Habilitation Specialist
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 408-9177
DEAN VITELLI
Day Training/Habilitation Specialist
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (213) 444-8182
REINA M VELASCO-DECUELLAR
Community Health Worker
6800 OWENSMOUTH AVE STE 160
CANOGA PARK, CA 91303
Los Angeles County (818) 610-6727

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 Derrick Estifanos's NPI number?

The NPI number for Derrick Estifanos is 1063968097. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Derrick Estifanos located?

Derrick Estifanos practices at 6800 Owensmouth Ave Ste 160, Canoga Park, CA 91303. The listed phone number is (818) 647-2653.

What is Derrick Estifanos's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Derrick Estifanos was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.