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DERRICK HANS BONDERUD RADT
NPI 1992346852
Counselor - Addiction (Substance Use Disorder) in Lotus, CA

Active since October 02, 2019
838 BEACH COURT, LOTUS, CA 95651(530) 626-7383 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derrick Hans Bonderud Radt NPPES

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

DERRICK HANS BONDERUD RADT (NPI 1992346852) is an individual addiction (substance use disorder) provider in Lotus, California, licensed in California (R1365380919) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1992346852
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDERRICK HANS BONDERUDCredential: RADT
Location Address838 BEACH COURTLotus, CA 95651
Mailing Address838 Beach CourtLotus, CA 95651 · (530) 626-7383
Phone(530) 626-7383
Sole ProprietorYes
Enumeration DateOctober 2, 2019
✔ NPI 1992346852 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
License✔ Licensed in CA · R1365380919
838 BEACH COURT, Lotus, CA 95651
Open in Google Maps ↗

Other Identifiers 1

OtherR1365380919CA · Ccapp

Other Providers at the Same Location NPPES 5

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

DUANE STIGEN
Counselor (Addiction (Substance Use Disorder))
838 BEACH COURT
LOTUS, CA 95651
El Dorado County (530) 626-7252
KRISTINA DONSBACH
Counselor (Addiction (Substance Use Disorder))
838 BEACH COURT
LOTUS, CA 95651
El Dorado County (530) 626-7252
MIKE MORELAND
Substance Abuse Rehabilitation Facility
838 BEACH COURT
LOTUS, CA 95651
El Dorado County (530) 626-7252
BRANGWYN URSULA FOLEY
Counselor (Addiction (Substance Use Disorder))
838 BEACH COURT
LOTUS, CA 95651
El Dorado County (530) 626-7252
DANI WALDRON CADC-CAS
Counselor (Addiction (Substance Use Disorder))
838 BEACH COURT
LOTUS, CA 95651
El Dorado County (530) 626-7252

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 Bonderud's NPI number?

The NPI number for Derrick Bonderud is 1992346852. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Derrick Bonderud located?

Derrick Bonderud practices at 838 Beach Court, Lotus, CA 95651. The listed phone number is (530) 626-7383.

What is Derrick Bonderud'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 Derrick Bonderud was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.