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DERRICK BANE
NPI 1972979003
Rehabilitation Practitioner in Roseville, CA

Active since August 12, 2015
406 SUNRISE AVE STE 300, ROSEVILLE, CA 95661(916) 783-5207 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, Apr 3, 2025, Apr 14, 2022 and 2 more (5 updates tracked since 2017).

About Derrick Bane NPPES

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

DERRICK BANE (NPI 1972979003) is an individual rehabilitation practitioner in Roseville, California and active in the NPI registry since August 2015. He maintains 8 additional practice locations.

NPPES Registry Identity

NPI1972979003
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDERRICK BANE
Location Address406 SUNRISE AVE STE 300Roseville, CA 95661-4144
Mailing Address3440 Viking DrSacramento, CA 95827-2844 · (916) 591-4362
Phone(916) 783-5207
Sole ProprietorYes
Enumeration DateAugust 12, 2015
Last NPPES UpdateMay 7, 20255 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1972979003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
406 SUNRISE AVE STE 300, Roseville, CA 95661
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Secondary Practice Locations 8

Location 17236 S Recovery RdFrench Camp, CA 95231 · Phone (209) 888-6595
Location 2406 Sunrise Ave Ste 300Roseville, CA 95661-4144 · Phone (916) 783-5207
Location 37415 Henrietta DrSacramento, CA 95822-5142 · Phone (916) 364-8395
Location 4505 M StRio Linda, CA 95673-2218 · Phone (916) 287-4067
Location 53440 Viking Dr Ste 114Sacramento, CA 95827-2844 · Phone (916) 364-8395
Location 63810 Rosin Ct Ste 180Sacramento, CA 95834-1656 · Phone (916) 283-8280 ext. 3030
Location 72130 Stockton Blvd Bldg 300Sacramento, CA 95817-1337 · Phone (916) 520-2460
Location 87224 S Recovery RdFrench Camp, CA 95231 · Phone (209) 888-6595

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN GENE CLEVERINGA
Case Manager/Care Coordinator
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207
HAYDEN PATRICK MCGOWAN
Case Manager/Care Coordinator
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207
EDWARD DENNIS PT
Licensed Psychiatric Technician
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (530) 470-2425
ALONDRA G DELGADILLO GONZALEZ
Student in an Organized Health Care Education/Training Program
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207
LISA WILLIAMS MA, LMFT
Marriage & Family Therapist
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207
KATRINA STEINER
Case Manager/Care Coordinator
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207
MS. ANGELA MARIE PRENDEZ
Adult Companion
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207
SARAH NOELLE ERICKSON LPT
Licensed Psychiatric Technician
406 SUNRISE AVE STE 300
ROSEVILLE, CA 95661
Placer County (916) 783-5207

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 Derrick Bane's NPI number?

The NPI number for Derrick Bane is 1972979003. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Derrick Bane located?

Derrick Bane practices at 406 Sunrise Ave Ste 300, Roseville, CA 95661. The listed phone number is (916) 783-5207.

What is Derrick Bane's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Derrick Bane was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.