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ERNESTINE DEREGO CADC
NPI 1649540618
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since January 09, 2012
305 SERENO VISTA WAY, SAN JOSE, CA 95116(408) 505-4643 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ernestine Derego Cadc NPPES

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

ERNESTINE DEREGO CADC (NPI 1649540618) is an individual addiction (substance use disorder) provider in San Jose, California and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1649540618
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameERNESTINE DEREGOCredential: CADC
Location Address305 SERENO VISTA WAYSan Jose, CA 95116-1574
Mailing Address305 Sereno Vista WaySan Jose, CA 95116-1574 · (408) 505-4643
Phone(408) 505-4643
Sole ProprietorYes
Enumeration DateJanuary 9, 2012
✔ NPI 1649540618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
305 SERENO VISTA WAY, San Jose, CA 95116
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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 Ernestine Derego's NPI number?

The NPI number for Ernestine Derego is 1649540618. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Ernestine Derego located?

Ernestine Derego practices at 305 Sereno Vista Way, San Jose, CA 95116. The listed phone number is (408) 505-4643.

What is Ernestine Derego's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ernestine Derego was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.