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KELVIN CLARENCE AQUILIZAN DERRADA
NPI 1295242899
Licensed Vocational Nurse in Lathrop, CA

Active since January 04, 2018
13405 BROOKWOOD WAY, LATHROP, CA 95330(209) 982-9368 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelvin Clarence Aquilizan Derrada NPPES

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

KELVIN CLARENCE AQUILIZAN DERRADA (NPI 1295242899) is an individual licensed vocational nurse in Lathrop, California, licensed in California (280438) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1295242899
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameKELVIN CLARENCE AQUILIZAN DERRADA
Location Address13405 BROOKWOOD WAYLathrop, CA 95330-8920
Mailing Address13405 Brookwood WayLathrop, CA 95330-8920 · (209) 982-9368
Phone(209) 982-9368
Sole ProprietorYes
Enumeration DateJanuary 4, 2018
✔ NPI 1295242899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 280438
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
13405 BROOKWOOD WAY, Lathrop, CA 95330
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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 Kelvin Clarence Derrada's NPI number?

The NPI number for Kelvin Clarence Derrada is 1295242899. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Where is Kelvin Clarence Derrada located?

Kelvin Clarence Derrada practices at 13405 Brookwood Way, Lathrop, CA 95330. The listed phone number is (209) 982-9368.

What is Kelvin Clarence Derrada's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelvin Clarence Derrada was last updated on January 4, 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.