Active NPI 1821755034 Individual Practitioner Male Practitioner

Derrick Cisneros

Rehabilitation Practitioner • Van Nuys, CA

Professional Overview & Biography Verified Profile Summary

Derrick Cisneros is a registered healthcare professional specializing in Rehabilitation Practitioner in Van Nuys, CA. Practice services are available at 14600 SHERMAN WAY STE 100D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14600 Sherman Way Ste 100d

Van Nuys, CA 914055869

Telephone 8183746901

Associated Practice Facility / Clinic

🏢 San Fernando Valley Community Mental Health Center, Inc. Facility NPI 1588794747

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Van Nuys, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

373 Specialists

Practicing in Van Nuys, CA (14127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-22

Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Gayle Arst

Marriage & Family Therapist

NPI 1013048446

Melissa Gopez

Social Worker - Clinical

NPI 1013560143

Lucia Tin

Social Worker - Clinical

NPI 1033691019

Claudia Flores

Social Worker - Clinical

NPI 1063969889

Gregory Wallace , MSW

Rehabilitation Practitioner

NPI 1073902250

Master of Social Work

Nahal Nadim

Rehabilitation Practitioner

NPI 1083747307

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 22, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2021

Registered at 14600 SHERMAN WAY STE 100D, VAN NUYS, CA 914055869 (Tel: 8183746901)

📍

Updated Business Mailing Address November 22, 2021

Registered at 14600 SHERMAN WAY STE 100D, VAN NUYS, CA 914055869 (Tel: 8183746901)

👤

Provider Name / Credentials Updated November 22, 2021

Recorded as DERRICK CISNEROS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2021

Rehabilitation Practitioner

🟢

Initial NPI Registration & Enumeration November 22, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821755034

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 22, 2021

Last Update: November 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14600 Sherman Way Ste 100d

Van Nuys, CA 914055869

Phone: 8183746901

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.