IndividualActive
Derrek Hanson, IDC
NPI 1073071593 · Independent Duty Corpsman · San Diego, CA
Derrek Hanson, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1073071593).
Provider details
- NPI number
- 1073071593
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000
Phone: (619) 532-7968
Approximate (ZIP-level) locationGet directions
Mailing address
10297 Waldron Way
San Diego, CA 92124-3218
Registry dates
- Enumerated
- 2019-03-04
- Last updated
- 2019-03-04
Frequently asked questions
- What is Derrek Hanson's NPI number?
- Derrek Hanson's National Provider Identifier (NPI) is 1073071593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrek Hanson's specialty?
- Derrek Hanson is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Derrek Hanson located?
- Derrek Hanson's practice location on file with NPPES is 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000.
- What is Derrek Hanson's phone number?
- The practice phone number listed in the NPPES registry for Derrek Hanson is (619) 532-7968.
- Is Derrek Hanson's NPI active?
- Yes — Derrek Hanson's NPI (1073071593) is active in the NPPES registry as of the last update on 2019-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.