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OSAYAMEN DERENG
NPI 1326591595
Nurse Practitioner - Psychiatric/Mental Health in Antioch, CA

Active since July 25, 2016
5497 RATHDRUM WAY, ANTIOCH, CA 94531(510) 415-1235 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osayamen Dereng NPPES

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

OSAYAMEN DERENG (NPI 1326591595) is an individual psychiatric/mental health provider in Antioch, California, licensed in California (95005210) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1326591595
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOSAYAMEN DERENG
Location Address5497 RATHDRUM WAYAntioch, CA 94531-8681
Mailing Address5497 Rathdrum WayAntioch, CA 94531-8681 · (510) 415-1235
Phone(510) 415-1235
Sole ProprietorYes
Enumeration DateJuly 25, 2016
Last NPPES UpdateMay 17, 2019
✔ NPI 1326591595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95005210
Also ListedRegistered NurseTaxonomy 163W00000X · License 634659 (CA)
5497 RATHDRUM WAY, Antioch, CA 94531
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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 Osayamen Dereng's NPI number?

The NPI number for Osayamen Dereng is 1326591595. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Osayamen Dereng located?

Osayamen Dereng practices at 5497 Rathdrum Way, Antioch, CA 94531. The listed phone number is (510) 415-1235.

What is Osayamen Dereng's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Osayamen Dereng was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.