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MR. DEREK LANE HOUSEHOLDER OTRL
NPI 1700082955
Occupational Therapist - Hand in San Diego, CA

Active since June 25, 2007
4650 PALM AVE, SAN DIEGO, CA 92154(619) 662-6935 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Derek Lane Householder Otrl NPPES

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

MR. DEREK LANE HOUSEHOLDER OTRL (NPI 1700082955) is an individual hand provider in San Diego, California, licensed in California (1031031) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1700082955
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameMR. DEREK LANE HOUSEHOLDERCredential: OTRL
Location Address4650 PALM AVESan Diego, CA 92154-8404
Mailing Address4355 Valle DrLa Mesa, CA 91941-7848 · (619) 460-6906
Phone(619) 662-6935
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700082955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in CA · 1031031
4650 PALM AVE, San Diego, CA 92154
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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.

SAMANTHA DAVIS RAMOS PHARM.D.
Pharmacist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5301
JOSEPH TAMAYO PHARM.D.
Pharmacist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5301
DR. MIGUEL ANGEL PENA-RUIZ M.D.
Internal Medicine
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5013
KRISTA RICH
Physical Therapist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 528-5000
JANIE PAK M.D., M.P.H.
Obstetrics & Gynecology
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (858) 266-5000
HYUN BAE CHUN MD
Family Medicine
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (833) 574-2273
DAVID CHARLES MCCLASKEY M.D.
Family Medicine (Sports Medicine)
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 528-5000
DR. HENRY CHAN PHARM.D.
Pharmacist
4650 PALM AVE
SAN DIEGO, CA 92154
San Diego County (619) 662-5301

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 Householder's NPI number?

The NPI number for Derek Householder is 1700082955. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Derek Householder located?

Derek Householder practices at 4650 Palm Ave, San Diego, CA 92154. The listed phone number is (619) 662-6935.

What is Derek Householder's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

When was this NPI record last updated?

The NPPES record for Derek Householder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.