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DEREK DENG
NPI 1114686383
Day Training/Habilitation Specialist in San Rafael, CA

Active since December 14, 2021
920 GRAND AVE, SAN RAFAEL, CA 94901(415) 376-2310 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Dec 14, 2021 (2 updates tracked since 2021).

About Derek Deng NPPES

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

DEREK DENG (NPI 1114686383) is an individual day training/habilitation specialist in San Rafael, California and active in the NPI registry since December 2021. He maintains a secondary practice location in Fremont.

NPPES Registry Identity

NPI1114686383
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameDEREK DENG
Location Address920 GRAND AVESan Rafael, CA 94901-3506
Mailing Address920 Grand AveSan Rafael, CA 94901-3506
Phone(415) 376-2310
Sole ProprietorNo
Enumeration DateDecember 14, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1114686383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License 46-1305562 (CA)
920 GRAND AVE, San Rafael, CA 94901
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Secondary Practice Location 1

Location 139210 State St Ste 220Fremont, CA 94538-1456 · Phone (510) 894-4135

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.

GINA GOMEZ
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 376-2310
SYDNEY VALETT
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 861-0828
SARAH LAZZAROTTO
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 861-0828
XIANNA BARNES
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 861-0828
MORYN HAGEE
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 861-0828
AVA GEHLEN-WILLIAMS
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 376-2310
JOHN STREBLOW
Community Health Worker
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (415) 861-0828
REBECCA ADAIR
Day Training/Habilitation Specialist
920 GRAND AVE
SAN RAFAEL, CA 94901
Marin County (707) 255-3719

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 Deng's NPI number?

The NPI number for Derek Deng is 1114686383. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Where is Derek Deng located?

Derek Deng practices at 920 Grand Ave, San Rafael, CA 94901. The listed phone number is (415) 376-2310.

What is Derek Deng's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Derek Deng was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.